Bassett R, McCutcheon Adams K, Danesh V, et al. Rethinking critical care: Decreasing sedation, increasing delirium monitoring, and increasing patient mobility. Joint Commission Journal on Quality and Patient Safety. 2015 Feb;41(2):62-74.
This article presents case studies of five hospitals/health systems participating in the Institute for Healthcare Improvement's Rethinking Critical Care program to reduce harm of critically ill patients by decreasing sedation, increasing monitoring and management of delirium, and increasing patient mobility. Key lessons learned include interdisciplinary teamwork, culture change, small-scale testing, regular feedback, staff education, and building will to improve.