Collaborate to Extubate: A Needs Assessment and Educational Program on the ABCDEF Bundle

Massachusetts General Hospital (Boston, Massachusetts)

CSI Summary

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CSI Presentation

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CSI Toolkit

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Added to Collection

Project Topic

Delirium prevention and treatment

CSI Participants

Erica Edwards, RN, MSN, CCRN-CMC, CHFN
Norine O'Malley-Simmler, RN, BSN
Lisa O'Neil, RN, BSN
Alicia Sheehan, RN, BSN

Project Goals/Objectives

  1. To increase staff nurse awareness of the ABCDEF bundle
  2. To decrease ventilator days
  3. To decrease length of stay

Project Outcomes

  1. Increased nurse awareness of the ABCDEF bundle
  2. Decreased ventilator days 1.2 percent (50 days in one quarter)
  3. These outcomes resulted in cost savings of $76,100, with a projected annual fiscal impact of $304,400.

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The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.

The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.