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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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.

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.

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