Use of the ABC care bundle to standardize guideline implementation in a cardiac surgical population: a pilot study.
A cardiac surgical progressive care unit implemented the ABC's of Cardiovascular Risk Reduction Care Bundle to determine whether the use of a packaged approach to medication prescription and lifestyle counseling would improve adherence to secondary risk-reduction guidelines in postcoronary artery bypass graft patients. A pilot study was carried out to assess changes in adherence to guideline recommendations post-Care Bundle implementation. Findings support using a systematic strategy to improve guideline adherence in this population.
Poe
Stephanie S
SS
Department of Nursing Administration, The Johns Hopkins Hospital, Baltimore, MD 21287, USA. spoe@jhmi.edu
Dawson
Patricia B
PB
Cafeo
Christina
C
Sedlander
Debra
D
Curtis
Carol
C
Meyer
Pamela
P
Blumenthal
Roger
R
Baumgartner
William
W
Allen
Jerilyn
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001026:Coronary Artery Bypass / Q000592:standards*; D019091:Critical Pathways / Q000592:standards*; D004282:Documentation; D011307:Drug Prescriptions / Q000592:standards; D019317:Evidence-Based Medicine; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D015403:Nursing Evaluation Research; D010353:Patient Education as Topic / Q000592:standards; D019990:Perioperative Care / Q000592:standards*; D010865:Pilot Projects; D017410:Practice Guidelines as Topic / Q000592:standards*; D011383:Progressive Patient Care / Q000592:standards; D040242:Risk Reduction Behavior; D017749:Total Quality Management / Q000458:organization & administration