{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T21:08:18Z","timestamp":1770844098546,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,5,5]],"date-time":"2018-05-05T00:00:00Z","timestamp":1525478400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients admitted to intensive care units (ICUs) often experience pain, oversedation, prolonged mechanical ventilation, delirium, and weakness. These conditions are important in that they often lead to protracted physical, neurocognitive, and mental health sequelae now termed postintensive care syndrome. Changing current ICU practice will not only require the adoption of evidence\u2010based interventions but the development of effective and reliable teams to support these new practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To build on the success of bundled care and bridge an ongoing evidence\u2010practice gap, the Society of Critical Care Medicine (SCCM) recently launched the ICU Liberation ABCDEF Bundle Improvement Collaborative. The Collaborative aimed to foster the bedside application of the SCCM's Pain, Agitation, and Delirium Guidelines via the ABCDEF bundle. The purpose of this paper is to describe the history of the Collaborative, the evidence\u2010based implementation strategies used to foster change and teamwork, and the performance and outcome metrics used to monitor progress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Collaborative participants were required to attend four in\u2010person meetings, monthly colearning calls, database training sessions, an e\u2010Community listserv, and select in\u2010person site visits. Teams submitted patient\u2010level data and completed pre\u2010 and postimplementation questionnaires focused on the assessment of teamwork and collaboration, work environment, and overall ICU care. Faculty shared the evidence used to derive each bundle element as well as team\u2010based implementation strategies for improvement and sustainment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Retention in the Collaborative was high, with 67 of 69 adult and eight of nine pediatric ICUs fully completing the program. Baseline and prospective data were collected on over 17,000 critically ill patients. A variety of evidence\u2010based professional behavioral change interventions and novel implementation techniques were utilized and shared among Collaborative members.<\/jats:p><\/jats:sec><jats:sec><jats:title>Linking Evidence to Action<\/jats:title><jats:p>Hospitals and health systems can use the Collaborative structure, strategies, and tools described in this paper to help successfully implement the ABCDEF bundle in their ICUs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/wvn.12290","type":"journal-article","created":{"date-parts":[[2018,5,5]],"date-time":"2018-05-05T21:28:25Z","timestamp":1525555705000},"page":"206-216","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":73,"title":["Improving Health Care for Critically Ill Patients Using an Evidence\u2010Based Collaborative Approach to ABCDEF Bundle Dissemination and Implementation"],"prefix":"10.1111","volume":"15","author":[{"given":"Mary Ann","family":"Barnes\u2010Daly","sequence":"first","affiliation":[{"name":"Clinical Performance Improvement Consultant Sutter Health  Sacramento CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenda T.","family":"Pun","sequence":"additional","affiliation":[{"name":"Clinical Program Manager Vanderbilt University Medical Center  Nashville TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori A.","family":"Harmon","sequence":"additional","affiliation":[{"name":"Director Quality Society of Critical Care Medicine  Mount Prospect IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane G.","family":"Byrum","sequence":"additional","affiliation":[{"name":"Quality Implementation Consultant Innovative Solutions for HealthCare Education LLC  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vishakha K.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Senior Manager, Research Society of Critical Care Medicine  Mount Prospect IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John W.","family":"Devlin","sequence":"additional","affiliation":[{"name":"Professor of Pharmacy, School of Pharmacy, Northeastern University, and Scientific Staff, Division of Pulmonary and Critical Care Medicine Tufts Medical Center  Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna L.","family":"Stollings","sequence":"additional","affiliation":[{"name":"Medical Intensive Care Unit Clinical Pharmacy Specialist and Pharmacist ICU Recovery Center, Department of Pharmaceutical Services Vanderbilt University Medical Center  Nashville TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen A.","family":"Puntillo","sequence":"additional","affiliation":[{"name":"Professor Emerita School of Nursing, University of California  San Francisco San Francisco, CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi J.","family":"Engel","sequence":"additional","affiliation":[{"name":"Clinical Specialist, Department of Rehabilitative Services University of California  San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia J.","family":"Posa","sequence":"additional","affiliation":[{"name":"Quality Excellence Leader Saint Joseph Mercy Health System  Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana","family":"Barr","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Anesthesiology, Perioperative, and Pain Medicine Stanford University School of Medicine  Stanford CA USA"},{"name":"Staff Anesthesiologist and Intensivist at the VA, Anesthesiology Service VA Palo Alto Health Care System  Palo Alto CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William D.","family":"Schweickert","sequence":"additional","affiliation":[{"name":"Director, Medical Critical Care Operations, Division of Pulmonary, Allergy and Critical Care Perelman School of Medicine at the University of Pennsylvania  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheryl L.","family":"Esbrook","sequence":"additional","affiliation":[{"name":"Program Coordinator of Occupational Therapy Professional Development University of Chicago Medicine  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken D.","family":"Hargett","sequence":"additional","affiliation":[{"name":"Director, Respiratory Care Services Houston Methodist Hospital  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon S.","family":"Carson","sequence":"additional","affiliation":[{"name":"Professor of Medicine and Division Chief, Pulmonary Diseases &amp; Critical Care Medicine University of North Carolina\u2010Chapel Hill  Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Matthew","family":"Aldrich","sequence":"additional","affiliation":[{"name":"Medical Director, Critical Care Medicine, Associate Clinical Professor, Anesthesia and Perioperative Care University of San Francisco\u2010California Medical Center  San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. 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