Skip to main content
Top
Published in: Critical Care 3/2011

01-06-2011 | Commentary

Care bundles: implementing evidence or common sense?

Authors: Luigi Camporota, Stephen Brett

Published in: Critical Care | Issue 3/2011

Login to get access

Abstract

Care bundles aim to improve standard of care and patient outcome by promoting the consistent implementation of a group of effective interventions. However, a variety of barriers prevent their full application in clinical practice. Here, we discuss some of the benefits and limitations of care bundles in the delivery of safer and more effective and consistent health care.
Literature
1.
go back to reference Niël-Weise BS, Gastmeier P, Kola A, Vonberg RP, Wille JC, van den Broek PJ, Bed Head Elevation Study Group T: An evidence-based recommendation on bed head elevation for mechanically ventilated patients. Crit Care 2011, 15: R111. 10.1186/cc10135PubMedCentralCrossRefPubMed Niël-Weise BS, Gastmeier P, Kola A, Vonberg RP, Wille JC, van den Broek PJ, Bed Head Elevation Study Group T: An evidence-based recommendation on bed head elevation for mechanically ventilated patients. Crit Care 2011, 15: R111. 10.1186/cc10135PubMedCentralCrossRefPubMed
2.
go back to reference Mohan D, Angus DC: Thought outside the box: intensive care unit freakonomics and decision making in the intensive care unit. Crit Care Med 2010,38(10 Suppl):S637-641.CrossRefPubMed Mohan D, Angus DC: Thought outside the box: intensive care unit freakonomics and decision making in the intensive care unit. Crit Care Med 2010,38(10 Suppl):S637-641.CrossRefPubMed
3.
go back to reference Walker S, Brett S: Oiling the wheels of intensive care to reduce 'machine friction': the best way to improve outcomes? Crit Care Med 2010,38(10 Suppl):S642-648.CrossRefPubMed Walker S, Brett S: Oiling the wheels of intensive care to reduce 'machine friction': the best way to improve outcomes? Crit Care Med 2010,38(10 Suppl):S642-648.CrossRefPubMed
4.
go back to reference Rello J, Chastre J, Cornaglia G, Masterton R: A European care bundle for management of ventilator-associated pneumonia. J Crit Care 2011, 26: 3-10. 10.1016/j.jcrc.2010.04.001CrossRefPubMed Rello J, Chastre J, Cornaglia G, Masterton R: A European care bundle for management of ventilator-associated pneumonia. J Crit Care 2011, 26: 3-10. 10.1016/j.jcrc.2010.04.001CrossRefPubMed
6.
go back to reference Rello J, Lorente C, Bodi M, Diaz E, Ricart M, Kollef MH: Why do physicians not follow evidence-based guidelines for preventing ventilator-associated pneumonia?: a survey based on the opinions of an international panel of intensivists. Chest 2002, 122: 656-661. 10.1378/chest.122.2.656CrossRefPubMed Rello J, Lorente C, Bodi M, Diaz E, Ricart M, Kollef MH: Why do physicians not follow evidence-based guidelines for preventing ventilator-associated pneumonia?: a survey based on the opinions of an international panel of intensivists. Chest 2002, 122: 656-661. 10.1378/chest.122.2.656CrossRefPubMed
7.
go back to reference Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, Rubin HR: Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999, 282: 1458-1465. 10.1001/jama.282.15.1458CrossRefPubMed Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, Rubin HR: Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999, 282: 1458-1465. 10.1001/jama.282.15.1458CrossRefPubMed
8.
go back to reference Amerling R, Winchester JF, Ronco C: Guidelines have done more harm than good. Blood Purif 2008, 26: 73-76. 10.1159/000110569CrossRefPubMed Amerling R, Winchester JF, Ronco C: Guidelines have done more harm than good. Blood Purif 2008, 26: 73-76. 10.1159/000110569CrossRefPubMed
10.
go back to reference Antonelli M, Mercurio G: The 2008 international guidelines for management of severe sepsis and septic shock: merits and weaknesses. Minerva Anestesiol 2009, 75: 27-29.PubMed Antonelli M, Mercurio G: The 2008 international guidelines for management of severe sepsis and septic shock: merits and weaknesses. Minerva Anestesiol 2009, 75: 27-29.PubMed
11.
go back to reference Reade MC, Warrillow SJ, Myburgh JA, Bellomo R: Guidance in sepsis management: navigating uncharted waters? Crit Care 2008, 12: 428. author reply 428 10.1186/cc7004PubMedCentralCrossRefPubMed Reade MC, Warrillow SJ, Myburgh JA, Bellomo R: Guidance in sepsis management: navigating uncharted waters? Crit Care 2008, 12: 428. author reply 428 10.1186/cc7004PubMedCentralCrossRefPubMed
Metadata
Title
Care bundles: implementing evidence or common sense?
Authors
Luigi Camporota
Stephen Brett
Publication date
01-06-2011
Publisher
BioMed Central
Published in
Critical Care / Issue 3/2011
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc10232

Other articles of this Issue 3/2011

Critical Care 3/2011 Go to the issue