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Impact of a Real-Time, Pharmacist-Led, Intensive Care Unit-Based Feedback Intervention on Analgesia and Sedation Quality Among Mechanically Ventilated Patients.

Publication ,  Journal Article
Mancheril, B; Kram, B; Schultheis, J; Kram, S; Trammel, M; Liu, B; Jordan, W; Cox, CE
Published in: J Nurs Care Qual
July 2021

BACKGROUND: Consensus guidelines for pain, agitation, and delirium (PAD) in mechanically ventilated patients recommend maintaining a light level of sedation. LOCAL PROBLEM: Consistent attainment of target PAD assessments in mechanically ventilated ICU patients is often challenging. METHODS: This is a single-center, prospective study. INTERVENTIONS: In the intervention group, a pharmacist provided weekly feedback to nurses on their success in achieving target PAD assessments compared with a historical cohort without feedback. RESULTS: Overall, 478 patients and 205 nurses were included. The odds of having weekly Richmond Agitation-Sedation Scale (RASS) score, pain score goals, and Confusion Assessment Method for the ICU (CAM-ICU) negative assessments at goal between the intervention and control groups fluctuated over time without a discernible trend. CONCLUSION: The provision of weekly feedback to nurses on PAD nursing assessments by a pharmacist did not impact the achievement of PAD goals among critically ill mechanically ventilated patients.

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Published In

J Nurs Care Qual

DOI

EISSN

1550-5065

Publication Date

July 2021

Volume

36

Issue

3

Start / End Page

242 / 248

Location

United States

Related Subject Headings

  • Respiration, Artificial
  • Prospective Studies
  • Pharmacists
  • Pain
  • Nursing
  • Intensive Care Units
  • Hypnotics and Sedatives
  • Humans
  • Feedback
  • Delirium
 

Citation

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Chicago
ICMJE
MLA
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Mancheril, B., Kram, B., Schultheis, J., Kram, S., Trammel, M., Liu, B., … Cox, C. E. (2021). Impact of a Real-Time, Pharmacist-Led, Intensive Care Unit-Based Feedback Intervention on Analgesia and Sedation Quality Among Mechanically Ventilated Patients. J Nurs Care Qual, 36(3), 242–248. https://doi.org/10.1097/NCQ.0000000000000527
Mancheril, Benjamin, Bridgette Kram, Jennifer Schultheis, Shawn Kram, Morgan Trammel, Beiyu Liu, Weston Jordan, and Christopher E. Cox. “Impact of a Real-Time, Pharmacist-Led, Intensive Care Unit-Based Feedback Intervention on Analgesia and Sedation Quality Among Mechanically Ventilated Patients.J Nurs Care Qual 36, no. 3 (July 2021): 242–48. https://doi.org/10.1097/NCQ.0000000000000527.
Mancheril B, Kram B, Schultheis J, Kram S, Trammel M, Liu B, et al. Impact of a Real-Time, Pharmacist-Led, Intensive Care Unit-Based Feedback Intervention on Analgesia and Sedation Quality Among Mechanically Ventilated Patients. J Nurs Care Qual. 2021 Jul;36(3):242–8.
Mancheril, Benjamin, et al. “Impact of a Real-Time, Pharmacist-Led, Intensive Care Unit-Based Feedback Intervention on Analgesia and Sedation Quality Among Mechanically Ventilated Patients.J Nurs Care Qual, vol. 36, no. 3, July 2021, pp. 242–48. Pubmed, doi:10.1097/NCQ.0000000000000527.
Mancheril B, Kram B, Schultheis J, Kram S, Trammel M, Liu B, Jordan W, Cox CE. Impact of a Real-Time, Pharmacist-Led, Intensive Care Unit-Based Feedback Intervention on Analgesia and Sedation Quality Among Mechanically Ventilated Patients. J Nurs Care Qual. 2021 Jul;36(3):242–248.

Published In

J Nurs Care Qual

DOI

EISSN

1550-5065

Publication Date

July 2021

Volume

36

Issue

3

Start / End Page

242 / 248

Location

United States

Related Subject Headings

  • Respiration, Artificial
  • Prospective Studies
  • Pharmacists
  • Pain
  • Nursing
  • Intensive Care Units
  • Hypnotics and Sedatives
  • Humans
  • Feedback
  • Delirium