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Category: Quality and Patient Safety

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PADIS Guidelines and Related Articles

The Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines, are an update to the 2013 Pain, Agitation, Delirium Guidelines. 


Mastering Intensive Care Podcast - Episode 33: Wes Ely - Finding out what matters to our patients

Mastering Intensive Care Podcast is a podcast focused on conversations to inspire intensive care clinicians to become the best they can be in the practice of intensive care. In episode 33, Wes Ely, MD, discusses the ABCDEF Bundle. 


SCCM Pod-144 Message from the 2011 President

Society of Critical Care Medicine president Pamela A. Lipsett, MD, MHPE, FCCM, discusses her professional background and research interests during an engaging conversation that touches on cutting-edge topics, including quality of life after a stay in the intensive care unit, the future of critical care certification, ethics and "making a science of patient safety."


Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU

The Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS Guidelines, are an update to the 2013 Pain, Agitation, Delirium Guidelines.


Family-Centered Care in the ICU

Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU aim to provide clinicians with evidence-based strategies to optimize the support of the family of critically ill patients in the ICU. These guidelines identify the evidence base for best practices for family-centered care in the ICU. All recommendations were weak, highlighting the relative nascency of this field of research and the importance of future research to identify the most effective interventions to improve this important aspect of ICU care. 


Pediatric ICU Liberation: Collaborative Members Share Their Success

ICU Liberation leaders Matthew Aldrich, MD and John Lin talk with Pediatric ICU Liberation Collaborative participants Yu Kawa and Grace Arteaga. Both submitted abstracts to the 47th Critical Care Congress highlighting their success with the ICU Liberation initiative and implementation of the ABCDEF Bundle.


Gap Analysis Tool - Identification of Your ICU's Practice Differences

The Gap Analysis Tool is meant to help those implementing the Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. The tool will help clinicians rapidly develop a bundle of recommendations tailored to the needs of a specific intensive care unit (ICU).


SCCM Family-Centered Care Guidelines Supplement: Work Tools for Guideline Implementation

SCCM Family-Centered Care Guidelines Supplement: Work Tools for Guideline Implementation


The ICU Liberation Bundle: An Emphasis on Nonpharmacologic Interventions

This article was first published in the August 2019 issue of Critical Connections. The ICU Liberation Bundle (formerly the ABCDEF Bundle) represents the blueprint for implementing the ICU liberation initiative within intensive care units (ICUs) around the world that aims to liberate patients from iatrogenic harm due to the effects of various intensive care interventions. 


Early Identification of Sepsis: The Journey Since the Sepsis on the Wards Collaborative

This article was first published in the August 2019 issue of Critical Connections. AdventHealth Shawnee Mission in Shawnee Mission, Kansas, USA, had a unique opportunity to impact the care provided to patients with sepsis in partnership with the Surviving Sepsis Campaign’s (SSC) Sepsis on the Wards Collaborative. Three years later, building on this foundation, processes are still being streamlined to improve the care of this challenging population.


ICU Liberation Bundle: The Science Behind Liberating ICU Patients and Families

E. Wesley Ely, MD, MPH, FCCM, discusses the ICU Liberation Bundle: The Science Behind Liberating ICU Patients and Families. 


Sepsis Standard Work: Improving Compliance with Early Recognition and Management of Perinatal Sepsis

Leading sepsis experts discuss the Centers for Disease Control and Prevention's (CDC) recent sepsis Vital Signs and protocols for early recognition of maternal sepsis. This webinar was hosted by the CDC in partnership with the Society of Critical Care Medicine, the American Nurses Association, and the Association of Women's Health, Obstetric & Neonatal Nurses.


Empowering Nurses for Early Sepsis Recognition

Leading sepsis experts discuss the Centers for Disease Control and Prevention's (CDC) recent sepsis Vital Signs and protocols for early recognition of maternal sepsis. This webinar features an overview of CDC's sepsis Vital Signs report, a discussion on expanding sepsis early recognition, an overview of a pilot of sepsis early recognition, and lessons learned from implementing sepsis screening on hospital wards.


Advances in Sepsis: Protecting Patients Throughout the Lifespan

Leading sepsis experts discuss the Centers for Disease Control and Prevention's (CDC) recent sepsis Vital Signs and protocols for early recognition of maternal sepsis. This webinar discusses sepsis in acute care settings, septic shock guidelines for pediatrics, as well as sepsis in post-acute and long-term care settings.


Applying the ICU Liberation Bundle to Critically Ill Children

This article was originally published in the Spring 2020 Issue of Critical Connections. The aim of this article is to provide pediatric intensive care unit (PICU) practitioners with general guidance on implementation of the ICU Liberation Bundle. 


SCCM Pod-439 The Association Between Antibiotic Delay and Hospital Mortality

Explore the correlation between antibiotic delay and hospital mortality in patients with sepsis in this podcast.


Infusion Pumps Outside Patient Rooms: Clinical Considerations and Medication Safety

This article was first published in the Summer 2021 issue of Critical Connections. This article discusses the clinical and safety considerations for using infusion pumps outside of patient rooms in order to help decrease exposure.


Implicit Versus Explicit Limitation of Scarce Critical Care Resources

This article was first published in the Summer 2021 issue of Critical Connections. This article provides a case example and ethical analysis of implicit versus explicit limitation of scarce critical care resources.


How to Implement an Early ICU Mobility Program

This article was first published in the Fall 2020 issue of Critical Connections. Early mobility has been a proposed treatment for mechanically ventilated patients since the 1970s. Its benefits are reduced intensive care unit (ICU) and hospital lengths of stay (LOS) and fewer ventilator days and ICU readmissions.