Are the best patient outcomes achieved when ICU bundles are rigorously adhered to?

Point: Are the best patient outcomes achieved when ICU bundles are rigorously adhered to? Yes. Chest, 2013, Vol. 144(2), p.372-74.

Dellinger, R.P. and Townsend, S.R.

http://journal.publications.chestnet.org/article.aspx?articleid=1722640

CU bundles have emerged as important tools in addressing clinical health-care conditions with evidence-based medicine. An ICU bundle is a set of treatment goals (usually three to seven) that when grouped and achieved together over a finite time span are believed to promote optimum outcomes. The Institute for Healthcare Improvement (IHI) has been one of the main proponents of the bundle concept. Bundle-based care is based on evidence-based medicine. Bundles exist for the prevention of surgical site- and catheter-associated central line infections as well as for the prevention of urinary tract infections, weaning from ventilation, promotion of palliative care, treatment of sepsis, and prevention of pressure ulcers.