open access

Vol 49, No 5 (2017)
Review articles
Published online: 2017-11-05
Submitted: 2017-09-22
Accepted: 2017-11-04
Get Citation

Implementing clinical practice changes in critical care: lessons learned in a national collaborative of over 60 ICU teams

Ruth Kleinpell, Jerry J. Zimmerman
DOI: 10.5603/AIT.a2017.0057
·
Pubmed: 29151000
·
Anaesthesiol Intensive Ther 2017;49(5):437-440.

open access

Vol 49, No 5 (2017)
Review articles
Published online: 2017-11-05
Submitted: 2017-09-22
Accepted: 2017-11-04

Abstract

Improving care in the intensive care unit (ICU) is a global area of focus for clinicians worldwide. The complexity of the ICU environment, compounded by multiple patient comorbidities and high acuity levels, makes the ICU a unique and challenging area of clinical practice. The essence of quality improvement — designing and implementing strategies to enhance care — fit well with the ICU setting. However, implementing clinical change is challenging, regardless of the clinical setting. A national collaborative targeting ICU settings was initiated which provided a number of lessons learned regarding implementing quality of care initiatives in critical care. This article highlights quality improvement strategies for implementing clinical practice changes in the ICU to enhance care, based on reports from over 60 ICUs participating in the collaborative.

Abstract

Improving care in the intensive care unit (ICU) is a global area of focus for clinicians worldwide. The complexity of the ICU environment, compounded by multiple patient comorbidities and high acuity levels, makes the ICU a unique and challenging area of clinical practice. The essence of quality improvement — designing and implementing strategies to enhance care — fit well with the ICU setting. However, implementing clinical change is challenging, regardless of the clinical setting. A national collaborative targeting ICU settings was initiated which provided a number of lessons learned regarding implementing quality of care initiatives in critical care. This article highlights quality improvement strategies for implementing clinical practice changes in the ICU to enhance care, based on reports from over 60 ICUs participating in the collaborative.
Get Citation

Keywords

critical care, quality, improvement; quality, improvement, collaborative

About this article
Title

Implementing clinical practice changes in critical care: lessons learned in a national collaborative of over 60 ICU teams

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 49, No 5 (2017)

Pages

437-440

Published online

2017-11-05

DOI

10.5603/AIT.a2017.0057

Pubmed

29151000

Bibliographic record

Anaesthesiol Intensive Ther 2017;49(5):437-440.

Keywords

critical care
quality
improvement
quality
improvement
collaborative

Authors

Ruth Kleinpell
Jerry J. Zimmerman

References (9)
  1. Chelluri LP. Quality and performance improvement in critical care. Indian J Crit Care Med. 2008; 12(2): 67–76.
  2. Curtis JR, Cook DJ, Wall RJ, et al. Intensive care unit quality improvement: a "how-to" guide for the interdisciplinary team. Crit Care Med. 2006; 34(1): 211–218.
  3. Garland A. Improving the ICU: part 1. Chest. 2005; 127(6): 2151–2164.
  4. Institute for Healthcare Improvement. Science of improvement: How to Improve 2011. http://www.ihi.org/knowledge/Pages/HowtoImprove/ScienceofImprovementHowtoImprove.aspx.
  5. Thijs LG. Continuous quality improvement in the ICU: general guidelines. Intensive Care Medicine. 1997; 23(1): 125–127.
  6. The National Learning Consortium. Continuous quality improvement strategies to optimize practice. 2013: 1–17.
  7. Department of Health and Human Services Health Resources and Service Administration. Quality Improvement Guide. 2011.
  8. HRSA Quality Improvement Toolkit. https://www.hrsa.gov/quality/toolbox/methodology/qualityimprovement/index.html.
  9. Davidson JE, Aslakson RA, Long AC, et al. Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. Crit Care Med. 2017; 45(1): 103–128.

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