Rise and Shine: Implementing the ABCDE Bundle

Newton-Wellesley Hospital (Newton, Massachusetts)

CSI Summary

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CSI Presentation

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Project Topic

Delirium prevention

CSI Participants

Ann Mulligan, RN
Colleen Ryan, RN, MSN, CCRN
Maureen Sullivan, RN
Michele Wescott, RN, BSN, CCRN

Project Goals/Objectives

  1. To decrease total number of days on continuous IV sedation
  2. To decrease total number of ventilator days
  3. To increase compliance of CAM-ICU delirium assessment
  4. To implement early mobility within 48 hours of intubation
  5. To decrease the ICU length of stay (LOS)

Project Outcomes

  1. Increased compliance for continuous IV sedation of less than three days from 45 to 76 percent
  2. Decreased average ventilator days per patient 4.62 days
  3. Increased compliance with delirium assessment using the CAM-ICU 90 percent by end of the project
  4. Implemented early mobility in 60 percent of eligible patients
  5. Decrease ICU LOS four days
  6. These outcomes resulted in a projected annual fiscal impact of $1,491,665.

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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