AHRQ Safety Program for Mechanically Ventilated Patients
| Activity | Frequency |
|---|---|
| Comprehensive Unit-based Safety Program (CUSP) | |
| ___ Educate all new team members on the Science of Safety | Rolling |
| ___ Reeducate all team members on the Science of Safety | Every year |
| ___ Continue to identify defects | At least every 6 months |
| ___ Continue to use the Learning From Defects Tool | At least once every 3 months |
| ___ Continue to have monthly CUSP team meetings and involve your senior executive | Every month |
| ___ Complete the Sustainability Scorecard | Every 6 months |
| Daily Care Processes | |
| • Continue to ensure that every eligible patient’s head of the bed is at least 30 degrees from the horizontal position | Daily* |
| • Continue to conduct a sedation assessment for patients receiving mechanical ventilation | Daily* |
| • Continue to conduct a delirium assessment for patients receiving mechanical ventilation | Daily* |
| • Continue to ensure that eligible patients are receiving a spontaneous awakening trial (SAT) | Daily* |
| • Continue to ensure that eligible patients are receiving a spontaneous breathing trial (SBT) | Daily* |
| Daily Early Mobility | |
| • Continue to conduct a sedation assessment for patients receiving mechanical ventilation | Daily* |
| • Continue to conduct a delirium assessment for patients receiving mechanical ventilation | Daily* |
| • Continue to ensure that patients are undergoing the highest level of mobility possible | Daily* |
| Low Tidal Volume Ventilation | |
| • Continue to use recommended tidal volume | Daily* |
| • Continue to use recommended plateau pressure | Daily* |
| • Continue to use positive end-expiratory pressure (PEEP) > 5 cm/H2O | Daily* |
| • Continue to evaluate whether every patient has a risk factor for acute respiratory distress syndrome (ARDS) or has ARDS | Daily* |
* These are daily evidence based best practices that we encourage you to use to ensure that mechanically ventilated patients are receiving the best care possible.
