Lisa V Graves, Wassim Tarraf, Kevin Gonzalez, Mark W Bondi, Linda C Gallo, Carmen R Isasi, Martha Daviglus, Melissa Lamar, Donglin Zeng, Jianwen Cai, Hector M González
Characterizing cognitive profiles in diverse middle-aged and older Hispanics/Latinos: Study of Latinos-Investigation of Neurocognitive Aging (HCHS/SOL)
Alzheimer's & dementia (Amsterdam, Netherlands)
describe effects data literacy training continuous performance reports icu staff compliance 6element icu quality bundle approach known abcdef af bundle patient outcomes steppedwedge cluster randomized trial conducted institutional af bundle implementation program singlecenter study conducted eight adult icus adult patients admitted least 24 hours undergoing active withdrawal life support palliative care four icus intervention group received bundlerelated staff education data literacy training weekly bundle performance reports 12month study period four icus nonintervention group received none interventions bundle compliance patient outcomes tracked including icu hospital mortality transfer discharge discharge disposition mechanical ventilation icu delirium intervention group staff education alone increased bundle compliance 9 16 p 00001 data literacy training increased compliance 16 21 p 003 improvement sustained throughout study period including onset covid19 pandemic greater improvement nonintervention group p 0001 full af bundle compliance associated lower likelihood nextday icu hospital mortality discharge facility home associated higher likelihood nextday extubation patients nextday icu hospital discharge likelihood decreased delirium frequency affected first study demonstrating combination staff education data literacy training access performance data improves af bundle compliance sustains performance improves icu patient outcomes icu hospital mortality mechanical ventilation duration home discharge rates contrast previous studies increased bundle compliance hasten icu hospital discharges reduce delirium frequency patients