Skip to main content
Top
Published in: Annals of Intensive Care 1/2017

Open Access 01-12-2017 | Editorial

Protocols for the obvious: Where does it start, and stop?

Authors: Armand R. J. Girbes, Paul E. Marik

Published in: Annals of Intensive Care | Issue 1/2017

Login to get access

Abstract

Protocols can be helpful in specific situations and may have show benefits in clinical trials. So-called evidence based protocols and checklists frequently remind clinicians to do the obvious, but may also contain as part of a bundle, elements that are not based on the best current evidence. However, so called quality improvement programs frequently call for implementation of the total bundle. We think this is basically wrong and warn against that practice.
Literature
1.
go back to reference Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, Sexton B, Hyzy R, Welsh R, Roth G, Bander J, Kepros J, Goeschel C. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725–32.CrossRefPubMed Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, Sexton B, Hyzy R, Welsh R, Roth G, Bander J, Kepros J, Goeschel C. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725–32.CrossRefPubMed
2.
go back to reference Nolan T, Berwick DM. All-or-none measurement raises the bar on performance. JAMA. 2006;295:1168–70.CrossRefPubMed Nolan T, Berwick DM. All-or-none measurement raises the bar on performance. JAMA. 2006;295:1168–70.CrossRefPubMed
3.
go back to reference Girbes AR, Robert R, Marik PE. Protocols: help for improvement but beware of regression to the mean and mediocrity. Intensive Care Med. 2015;41:2218–20.CrossRefPubMed Girbes AR, Robert R, Marik PE. Protocols: help for improvement but beware of regression to the mean and mediocrity. Intensive Care Med. 2015;41:2218–20.CrossRefPubMed
4.
go back to reference Bodí M, Oliva I, Martín MC, Gilavert MC, Muñoz C, Olona M, Sirgo G. Impact of random safety analyses on structure, process and outcome indicators. multicentre study. Ann Intensive. Care. 2017;7(1):23. doi:10.1186/s13613-017-0245-x. Bodí M, Oliva I, Martín MC, Gilavert MC, Muñoz C, Olona M, Sirgo G. Impact of random safety analyses on structure, process and outcome indicators. multicentre study. Ann Intensive. Care. 2017;7(1):23. doi:10.​1186/​s13613-017-0245-x.
5.
go back to reference Marik PE, Hooper MH. Normocaloric versus hypocaloric feeding on the outcomes of ICU patients: A systematic review and meta-analysis. Intensive Care Med. 2016;42:316–23.CrossRefPubMed Marik PE, Hooper MH. Normocaloric versus hypocaloric feeding on the outcomes of ICU patients: A systematic review and meta-analysis. Intensive Care Med. 2016;42:316–23.CrossRefPubMed
Metadata
Title
Protocols for the obvious: Where does it start, and stop?
Authors
Armand R. J. Girbes
Paul E. Marik
Publication date
01-12-2017
Publisher
Springer Paris
Published in
Annals of Intensive Care / Issue 1/2017
Electronic ISSN: 2110-5820
DOI
https://doi.org/10.1186/s13613-017-0264-7

Other articles of this Issue 1/2017

Annals of Intensive Care 1/2017 Go to the issue