Publication Title

ONRQC Poster

Document Type

Presentation

Publication Date

2026

Keywords

oregon; ppmc

Abstract

Background: Critically ill patients are more likely to survive today than at any other time in history. As more patients recover from critical illnesses, however, many experience health impairments known as post-intensive care syndrome. The Society of Critical Care Medicine developed the ICU Liberation Bundle to decrease the risk of post-intensive care syndrome.

Problem: An audit of 100 patient charts identified complete ICU Liberation Bundle documentation in only 20% of eligible patient days, highlighting the need for increased consistency in bundle implementation. Since the ICU Liberation Bundle addresses modifiable post-intensive care syndrome risk factors, lack of consistency implementing bundle interventions increases the risk of post-intensive care syndrome development.

Methods: The unit-based council collaborated with interdisciplinary stakeholders to initiate nurse-led rounds centered around a bundle-based tool to decrease the prevalence of risk factors associated with post-intensive care syndrome . To support the practice change, stakeholders participated in skills days and simulations to train on rounding tool use. Pre-implementation and post-implementation compliance and outcome data were collected and evaluated for change .

Results: Post-implementation data demonstrates a 57% increase in ICU Liberation Bundle compliance, as well as a 31% reduction in average mechanical ventilation duration (p=0.014), a 32% reduction in average intensive care unit length of stay (p=0.005), 26.6% reduction in average foley catheter duration (p=0.001), a 23% reduction in average central line duration (p=0.043), and a 135% increase in patient mobility.

Conclusion: Implementation of nurse-led rounds using an ICU Liberation Bundle-based framework improved consistency of bundle interventions and reduced risk factors for post-intensive care syndrome development in one intensive care unit.

Specialty/Research Institute

Nursing

Comments

References

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