infographic: ahrq safety program for mechanically ... · science of safety identify defects partner...
TRANSCRIPT
AH
RQ
SA
F E T Y P R O G R A MF O
R M
EC
HA
NI
CA
LLY
VENTILATEDPA
TIE
NT
S•
D a i l y C a r e P r o c es
se
s
ytiliboM
ylraEnoitalitneV
em
ulo
V l
adi
T w
oL
ARDS
PEEP
PLATEAU
TIDALUse tidal volume of 6–8 mL/kg, or 4–6 mL/kg if ARDS is present
Maintain plateau pressure at ≤ 30 cm H2O
Use positive end- expiratory pressure ≥ 5 cm H2O, not ZEEP
Prevent acute respiratory distress syndrome
CUSP
•
•
•
•
Educate staff on the science of safety
Identify defects
Partner with senior executive
Learn from defects
Improve teamwork and communication
•
FF
AT
SE
NI
LT
NORFFOMO
DSI
WE
HT
PA
T
SEDATION
DELIRIUM
SAT
HOB
SBT
SSD-ETTUse subglottic secretion drainage endotracheal tube if intubated ≥ 72 hours
Confirm head of bed elevation ≥ 30o
Minimize sedation level
Assess then address delirium
Perform spontaneous awakening trial - Wake up!
Perform spontaneous breathing trial to wean patient off mechanical ventilation
DELIRIUM
MOBILITY
SEDATION
Tailor goals to maximize mobility
Minimize sedation level
Assess then address delirium
AHRQ Pub. No. 16(17)-0018-24-EF January 2017