title: Use of Daily Interruption of Sedation and Early Mobility in US Hospitals.
abstract: Although the Awakening and Breathing Coordination, Delirium assessment, and Early exercise/mobility (ABCDE) bundle may be effective, individual components of ABCDE may not be implemented as intended. We examined the use of daily interruption of sedation (DIS) and early mobility, looking for an association between these bundle elements. Despite the growing use of DIS and early mobility, the two do not seem to be adopted together, with serious implications for the effectiveness of the ABCDE bundle.
authors.affiliation: University of Michigan School of Nursing, Ann Arbor (Dr Manojlovich); VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor (Mr Ratz); Division of Healthcare Associated Infections, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, Rockville, Maryland (Dr Miller); and VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, and Department of Internal Medicine, University of Michigan Medical School, Ann Arbor (Dr Krein).
authors.forename: Milisa
authors.initials: M
authors.lastname: Manojlovich
authors.forename: David
authors.initials: D
authors.lastname: Ratz
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Miller
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Krein
mesh_terms: D003693:Delirium / Q000175:diagnosis; D055318:Evidence-Based Nursing / Q000379:methods / Q000592:standards; D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000494:pharmacology / Q000627:therapeutic use*; D015279:Organizational Culture; D061214:Patient Safety / Q000592:standards; D010808:Physical Examination / Q000379:methods* / Q000451:nursing; D011795:Surveys and Questionnaires
chemical_list: D006993:Hypnotics and Sedatives