Effects of a National Quality Improvement Collaborative on ABCDEF Bundle Implementation

Author(s): Michele C. Balas, PhD, RN, CCRN-K, Alai Tan, PhD, Brenda T. Pun, DNP, RN, E. Wesley Ely, MD, MPH, Shannon S. Carson, MD, Lorraine Mion, PhD, RN, Mary Ann Barnes-Daly, MS, RN, and Eduard E. Vasilevskis, MD, MPH

Contact Hours 1.00

CERP A 1.00

Expires Jan 03, 2024

Topics: Delirium, Quality Improvement

Population: Adult

Role: Manager

Member: Free
NonMember: $10.00

Added to Collection

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Quality improvement collaborative participation resulted in clinically meaningful, but small and variable, improvements in bundle performance. Opportunities remain to improve adoption of sedation, mechanical ventilation, and early mobility practices.


  • Evaluate the effects of quality improvement collaborative participation in ABCDEF Bundle performance.
  • Examine monthly individual ABCDEF bundle element performance rates before and after quality improvement collaborative initiation.
  • Identify which bundle elements were least likely to improve with quality improvement collaborative participation.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. No conflicts of interest have been identified for any individual with the ability to influence the content of this activity. Accreditation refers to recognition of continuing education only and does not imply AACN or ANCC approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


The American Association of Critical-Care Nurses (AACN) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing (CBRN), California Provider number CEP 1036. This activity is approved for 1.00 contact hours.

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