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An IU Health Arnett Hospital Release

—The Indiana University Health Arnett Hospital Intensive Care Unit team has been participating in the nationwide ICU Liberation Collaborative related to the implementation of the ABCDEF bundle for the past eighteen months. The IU Health Arnett ICU team won two top performance awards at the final meeting:

Top Performance for the F Bundle for the Midwest Region Community Hospital – F is for Family Engagement and Empowerment.
Top Performance award for Overall ABCDEF Bundle Compliance/Performance Midwest Region Community Hospital.

“I feel this whole collaborative is transformational in terms of how ICU care should be given not just at IU Health Arnett but nationally as well as internationally. This study cut across so many areas of patient care that it is going to have a profound effect in patient care and many of its elements will be translated into standard of care not just in ICUs all over the world but also patient care in every other setting,” stated Muhammad Ali, MD, director of Intensive Care Unit and chair of Pulmonary Medicine at IU Health Arnett.

This national quality initiative was conducted by the Society of Critical Care Medicine (SCCM). The aim of the collaborative was to create lean, sustainable and highly functioning multi-professional teams that partner with patients and families to create a safe and comfortable intensive care unit environment by implementing SCCM’s pain, agitation and delirium (PAD) guidelines and utilizing the newly modified ABCDEF bundle.

Each ICU was to implement The ABCDEF bundles in their respective ICUs.

A = Assess, Prevent and Manage Pain

B = Both Spontaneous Awakening and Spontaneous Breathing Trials

C = Choice of Sedation

D = Delirium: Assess, Prevent and Manage

E = Early Mobility and Exercise

F= Family Engagement and Empowerment

Each ICU communicated about successes, failures, challenges and difficulties while learning from each other how best to implement ABCDEF bundles. At the end of the collaboration, the participating ICUs will be able to generate new data, as well as guidelines for standardized care nationally, as well as internationally.

“I am pleased with our results. The overall ICU length of stay and hospital length of stay decreased by half a day. Mechanical ventilator hours decreased by 10 hours on average for all ICUs that participated, ours decreased by 20 hours,” explained Ali.  

Individual team members were recognized as well.

Erin Hoag, pharmacist, was recognized for leadership and mentoring of pharmacy team members to complete data collection.
Jeffrey Brown, MD, was recognized for his executive leadership support.
Muhammad Ali, MD was recognized for his dedicated leadership.

There are six-seven ICUs throughout the nation that are participating in this collaborative, which is funded by the Gordon and Betty Moore Foundation. IU Health Arnett Hospital is one of two ICUs selected from Indiana. Demographics of the other 22 institutions participating from the Midwest include a combination of community and teaching hospitals with bed sizes ranging from 8-36+.

Go to IU Health Arnett Newsroom