title: Dedicated multidisciplinary ventilator bundle team and compliance with sedation vacation.
abstract: BACKGROUND
  How compliance with a ventilator bundle is monitored varies from institution to institution. Some institutions rely on the primary intensive care unit team to review the bundle during their rounds; others rely on a separate team of health care personnel that may include representatives from disciplines such as nursing, respiratory therapy, and pharmacy.
  
  
  OBJECTIVE
  To compare rates of compliance with ventilator bundle components between a dedicated ventilator bundle rounding team and the primary intensive care unit rounding team in a 68-bed medical intensive care unit.
  
  
  METHODS
  A query of the medical intensive care unit's database was used to retrospectively determine rates of compliance with specific ventilator bundle components at a tertiary care hospital in an urban community for 1 year.
  
  
  RESULTS
  Compared with the intensive care unit rounding team, the ventilator bundle rounding team had better compliance with sedation vacation (61.7% vs 54.0%, P < .001). Rates of compliance with spontaneous breathing trials and prophylaxis of peptic ulcer disease were similar in both study groups.
  
  
  CONCLUSIONS
  A dedicated ventilator bundle rounding team improves compliance with sedation vacation, but not with spontaneous breathing trials and prophylaxis of peptic ulcer disease. In a large-volume tertiary center, a dedicated ventilator bundle rounding team may be more effective than the primary rounding team in achieving compliance with some bundle components.
authors.affiliation: Division of Pulmonary and Critical Care Medicine at Henry Ford Health System, Detroit, MI 48202, USA.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Mendez
authors.forename: Michael H
authors.initials: MH
authors.lastname: Lazar
authors.forename: Bruno
authors.initials: B
authors.lastname: Digiovine
authors.forename: Stephanie
authors.initials: S
authors.lastname: Schuldt
authors.forename: Robert
authors.initials: R
authors.lastname: Behrendt
authors.forename: Michael
authors.initials: M
authors.lastname: Peters
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Jennings
mesh_terms: D000368:Aged; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009746:Nursing, Team / Q000379:methods*; D012121:Respiration, Artificial / Q000451:nursing* / Q000592:standards*; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D015300:Ventilator Weaning / Q000451:nursing* / Q000592:standards*