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01-10-2015 | Editorial

From weaning theory to practice: implementation of a quality improvement program in ICU

Authors: Audrey De Jong, Samir Jaber

Published in: Intensive Care Medicine | Issue 10/2015

Excerpt

In their recent article in Intensive Care Medicine, Bo et al. [1] report the effect on clinical outcomes of implementing a comprehensive quality improvement (QI) program aiming to improve the compliance with protocol-directed weaning. The authors performed a before–after cluster randomized trial in 14 China intensive care units (ICUs), enrolling 884 patients. In the non-QI group, 444 patients (193 for the baseline, 251 for the QI phase) and in the QI group 440 patients (199 for the baseline, 241 for the QI phase) were included. The protocol-directed weaning in the QI group was associated with significant decreases of median duration of mechanical ventilation [from 7 days in the non-QI group to 3 days in the QI group (p = 0.003)] and median lengths of ICU stay [from 10 to 6 days (p = 0.004)] and hospital stay [from 23 to 19 days (p < 0.001)] in mechanically ventilated patients. The authors concluded that the QI program involving protocol-directed weaning was associated with beneficial clinical outcomes in mechanically ventilated patients. …

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Title: From weaning theory to practice: implementation of a quality improvement program in ICU
Authors: Audrey De Jong
Samir Jaber
Publication date: 01-10-2015
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 10/2015
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-015-3960-5

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From weaning theory to practice: implementation of a quality improvement program in ICU

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