Use of Daily Interruption of Sedation and Early Mobility in US Hospitals

被引：0

作者：

Manojlovich, Milisa ^{[1
]}

Ratz, David ^{[2
]}

Miller, Melissa A. ^{[3
]}

Krein, Sarah L. ^{[4
,5
]}

机构：

[1] Univ Michigan, Sch Nursing, 400 N Ingalls,Room 4306, Ann Arbor, MI 48109 USA

[2] VA Ann Arbor Healthcare Syst, VA Ctr Clin Management Res, Ann Arbor, MI USA

[3] Agcy Healthcare Res & Qual, Div Healthcare Associated Infect, Ctr Qual Improvement & Patient Safety, Rockville, MD USA

[4] Univ Michigan, Sch Med, VA Ctr Clin Management Res, VA Ann Arbor Healthcare Syst, Ann Arbor, MI USA

[5] Univ Michigan, Sch Med, Dept Internal Med, Ann Arbor, MI USA

来源：

JOURNAL OF NURSING CARE QUALITY | 2017年 / 32卷 / 01期

关键词：

Awakening and Breathing Coordination; Delirium assessment; and Early exercise/mobility bundle; early mobility; organizational characteristics; sedation; safety culture; EARLY EXERCISE/MOBILITY BUNDLE; DELIRIUM MONITORING/MANAGEMENT; BREATHING COORDINATION; CRITICAL-CARE; INFECTIONS; AGITATION; OUTCOMES; PAIN;

D O I：

10.1097/NCQ.0000000000000222

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Although the Awakening and Breathing Coordination, Delirium assessment, and Early exercise/mobility (ABCDE) bundle may be effective, individual components of ABCDE may not be implemented as intended. We examined the use of daily interruption of sedation (DIS) and early mobility, looking for an association between these bundle elements. Despite the growing use of DIS and early mobility, the two do not seem to be adopted together, with serious implications for the effectiveness of the ABCDE bundle. Key words: Awakening and Breathing Coordination, Delirium assessment, and Early exercise/mobility bundle, early mobility, organizational characteristics, sedation, safety culture

引用

页码：71 / 76

页数：6

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