Impact of a multifaceted and multidisciplinary intervention on pain, agitation and delirium management in an intensive care unit: an experience of a Canadian community hospital in conducting a quality improvement project.
Zechen MaMercedes Camargo PenuelaMadelyn LawDivya JoshiHan-Oh ChungJoyce Nga Hei LamJennifer L Y TsangPublished in: BMJ open quality (2021)
The implementation of a multifaceted and multidisciplinary intervention on PAD assessment did not result in significant improvements in guideline adherence in a community ICU. Barriers to knowledge translation are apparent at multiple levels including the personal level (low completion rates on educational modules), interventional level (under-collection of data), and organisational level (coinciding with hospital accreditation education). Our next steps include reintroduction of education modules using organisation approved platforms, updating existing ICU policy, updating admission order sets, and conducting audit and feedback.
Keyphrases
- healthcare
- quality improvement
- intensive care unit
- randomized controlled trial
- mechanical ventilation
- mental health
- working memory
- public health
- chronic pain
- pain management
- primary care
- electronic health record
- acute care
- cardiac surgery
- acute kidney injury
- machine learning
- spinal cord
- adverse drug
- adipose tissue
- hip fracture
- metabolic syndrome
- acute respiratory distress syndrome
- glycemic control