Development, Implementation, and Evaluation of an Institutional Daily Awakening and Spontaneous Breathing Trial Protocol: A Quality Improvement Project

Conclusion:
Despite the implementation of a DA-SBT protocol that was individualized to clinician preferences and institutional resources and accompanied by substantial education and reminders for use, compliance to the DA component of this protocol was low and duration of MV remained unchanged. Additional quality improvement strategies are needed to overcome barriers to DA-SBT protocol use that may not exist in controlled clinical trials.

Source: Journal of Intensive Care Medicine - May 13, 2013 Category: Intensive Care Authors: Kher, S., Roberts, R. J., Garpestad, E., Kunkel, C., Howard, W., Didominico, D., Fergusson, A., Devlin, J. W. Tags: Original Research Source Type: research