, Volume 3, Issue 2, pp 79-88
Date: 26 Mar 2013

Care Bundles in the Adult ICU: Is It Evidence-Based Medicine?

Abstract

Sepsis and hospital acquired infections (HAI’s) are considered major public health risks and leading causes of death in hospitalized patients. These HAI’s may be preventable if addressed with bundled care processes, which are felt to be powerful drivers for improving the reliability of delivery of evidence-based care to impact patient outcomes. In addition to HAI, much attention has now been shifted to delirium and sedation practices in ICUs, with recent data showing the untoward effects of delirium with regards to increased ICU lengths of stay, costs, mortality and long-term cognitive impairment, and the realization that our sedation practices may in part contribute to this delirium.