Matt Broadway-Horner, Anindya Kar, Max Pemberton, Antonio Ventriglio
Psychological therapies and non-suicidal self-injury in LGBTIQ in accident and emergency departments in the UK: a scoping review
International review of psychiatry (Abingdon, England)
lung protective ventilation lpv advocated patients requiring mechanical ventilation mv duration time prevent worsening lung injury previous studies proved simple interventions increase awareness lpv disease pathophysiology well improve adherence lpv guidelines assess impact multicomponent lpv quality improvement project qip adherence lpv guidelines tidal volume data patients requiring mv large tertiary uk critical care unit collected retrospectively 3 6 months plandostudyact cycles september 2019 august 2022 cycles included sequential implementation lpv reports bedside whiteboards targeted education led multispecialty working group adherence predetermined targets 5 mv hours spent 10 mlkg predicted body weight pbw 75 mv hours spent 8 mlkg pbw patients requiring mv 408 949 hours 17 040 days mv data analysed improved lpv adherence demonstrated throughout qip mandated mv time spent 10 mlkg pbw reduced 765 mv hours 404 time spent 8 mlkg pbw improved 6886 mv hours 7187 following qip spontaneous mv adherence improved reduction time spent 10 mlkg pbw baseline completion 132 vs 675 increased time spent 8 mlkg pbw 6274 vs 7225 despite demonstrating improvements adherence unable achieve success predetermined targets multicomponent intervention including use lpv reports bedside whiteboards education improves adherence lpv guidelines robust data analysis reasons nonadherence predetermined targets required guide future interventions may allow improvement adherence lpv guidelines