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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Mancheril, B; Kram, B; Schultheis, J; Kram, S; Trammel, M; Liu, B; Jordan, W; Cox, CE

Published Date

  • July 2021

Published In

Volume / Issue

  • 36 / 3

Start / End Page

  • 242 - 248

PubMed ID

  • 33259465

Electronic International Standard Serial Number (EISSN)

  • 1550-5065

Digital Object Identifier (DOI)

  • 10.1097/NCQ.0000000000000527

Language

  • eng

Conference Location

  • United States