Effect of a collaborative weaning plan on patient outcome in the critical care setting
OBJECTIVEThe process of weaning from mechanical ventilation can be complex, requiring collaborative care planning by members of the healthcare team. Improved outcomes have been demonstrated to result from collaborative decision-making processes (e.g., when ventilator teams were utilized). The purpos...
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| Veröffentlicht in: | Critical care medicine 2001-02, Vol.29 (2), p.297-303 |
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| creator | Henneman, Elizabeth Dracup, Kathleen Ganz, Tomas Molayeme, Orna Cooper, Christopher |
| description | OBJECTIVEThe process of weaning from mechanical ventilation can be complex, requiring collaborative care planning by members of the healthcare team. Improved outcomes have been demonstrated to result from collaborative decision-making processes (e.g., when ventilator teams were utilized). The purpose of this study was to evaluate the effect of a collaborative weaning plan (CWP) on length of time on mechanical ventilation, length of stay in the intensive care unit (ICU), and cost.
DESIGNA new, collaborative weaning plan in the form of a weaning board and flowsheet was introduced into a medical intensive care unit (MICU) setting. A pre- and post-quasi-experimental design using historical controls was used to test the hypotheses. Attempts to control for the effects of history were made by collecting data related to patient, staffing, and organizational variables that could independently effect outcome.
SETTINGMICU in a west coast teaching hospital.
PATIENTSCritically ill patients receiving mechanical ventilation for 3 days or greater.
INTERVENTIONImplementation of a collaborative weaning plan.
MEASUREMENTSOutcomes studied included length of stay in the MICU, length of time patients were mechanically ventilated in the MICU, cost per MICU stay, and the incidence of complications (e.g., reventilation, readmission to the ICU, and mortality rate.)
MAIN RESULTSThe CWP decreased length of stay in the MICU by 3.6 days (p = .03) and length of ventilator time by 2.7 days (p = .06). There were no significant differences between groups related to cost or incidence of complications.
CONCLUSIONSThese results support the usefulness of collaborative structures (such as weaning boards/flowsheets) in decreasing ICU length of stay. |
| doi_str_mv | 10.1097/00003246-200102000-00013 |
| format | Article |
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DESIGNA new, collaborative weaning plan in the form of a weaning board and flowsheet was introduced into a medical intensive care unit (MICU) setting. A pre- and post-quasi-experimental design using historical controls was used to test the hypotheses. Attempts to control for the effects of history were made by collecting data related to patient, staffing, and organizational variables that could independently effect outcome.
SETTINGMICU in a west coast teaching hospital.
PATIENTSCritically ill patients receiving mechanical ventilation for 3 days or greater.
INTERVENTIONImplementation of a collaborative weaning plan.
MEASUREMENTSOutcomes studied included length of stay in the MICU, length of time patients were mechanically ventilated in the MICU, cost per MICU stay, and the incidence of complications (e.g., reventilation, readmission to the ICU, and mortality rate.)
MAIN RESULTSThe CWP decreased length of stay in the MICU by 3.6 days (p = .03) and length of ventilator time by 2.7 days (p = .06). There were no significant differences between groups related to cost or incidence of complications.
CONCLUSIONSThese results support the usefulness of collaborative structures (such as weaning boards/flowsheets) in decreasing ICU length of stay.</description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/00003246-200102000-00013</identifier><identifier>PMID: 11246309</identifier><identifier>CODEN: CCMDC7</identifier><language>eng</language><publisher>Hagerstown, MD: by the Society of Critical Care Medicine and Lippincott Williams & Wilkins</publisher><subject><![CDATA[Adult ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; APACHE ; Biological and medical sciences ; Cooperative Behavior ; Critical Care - organization & administration ; Decision Making, Organizational ; Emergency and intensive respiratory care ; Female ; Hospital Costs - statistics & numerical data ; Hospital Mortality ; Humans ; Intensive care medicine ; Interprofessional Relations ; Length of Stay - economics ; Length of Stay - statistics & numerical data ; Male ; Medical Records ; Medical sciences ; Middle Aged ; Patient Care Planning - organization & administration ; Patient Care Team - organization & administration ; Patient Readmission - statistics & numerical data ; Prognosis ; Time Factors ; Treatment Outcome ; Ventilator Weaning - adverse effects ; Ventilator Weaning - economics ; Ventilator Weaning - methods]]></subject><ispartof>Critical care medicine, 2001-02, Vol.29 (2), p.297-303</ispartof><rights>2001 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3843-8f1c381ef03a28108199448d5b37bc2df62c31e5a25a4ebf12687a09f6698c813</citedby><cites>FETCH-LOGICAL-c3843-8f1c381ef03a28108199448d5b37bc2df62c31e5a25a4ebf12687a09f6698c813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=891776$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11246309$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Henneman, Elizabeth</creatorcontrib><creatorcontrib>Dracup, Kathleen</creatorcontrib><creatorcontrib>Ganz, Tomas</creatorcontrib><creatorcontrib>Molayeme, Orna</creatorcontrib><creatorcontrib>Cooper, Christopher</creatorcontrib><title>Effect of a collaborative weaning plan on patient outcome in the critical care setting</title><title>Critical care medicine</title><addtitle>Crit Care Med</addtitle><description>OBJECTIVEThe process of weaning from mechanical ventilation can be complex, requiring collaborative care planning by members of the healthcare team. Improved outcomes have been demonstrated to result from collaborative decision-making processes (e.g., when ventilator teams were utilized). The purpose of this study was to evaluate the effect of a collaborative weaning plan (CWP) on length of time on mechanical ventilation, length of stay in the intensive care unit (ICU), and cost.
DESIGNA new, collaborative weaning plan in the form of a weaning board and flowsheet was introduced into a medical intensive care unit (MICU) setting. A pre- and post-quasi-experimental design using historical controls was used to test the hypotheses. Attempts to control for the effects of history were made by collecting data related to patient, staffing, and organizational variables that could independently effect outcome.
SETTINGMICU in a west coast teaching hospital.
PATIENTSCritically ill patients receiving mechanical ventilation for 3 days or greater.
INTERVENTIONImplementation of a collaborative weaning plan.
MEASUREMENTSOutcomes studied included length of stay in the MICU, length of time patients were mechanically ventilated in the MICU, cost per MICU stay, and the incidence of complications (e.g., reventilation, readmission to the ICU, and mortality rate.)
MAIN RESULTSThe CWP decreased length of stay in the MICU by 3.6 days (p = .03) and length of ventilator time by 2.7 days (p = .06). There were no significant differences between groups related to cost or incidence of complications.
CONCLUSIONSThese results support the usefulness of collaborative structures (such as weaning boards/flowsheets) in decreasing ICU length of stay.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>APACHE</subject><subject>Biological and medical sciences</subject><subject>Cooperative Behavior</subject><subject>Critical Care - organization & administration</subject><subject>Decision Making, Organizational</subject><subject>Emergency and intensive respiratory care</subject><subject>Female</subject><subject>Hospital Costs - statistics & numerical data</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Interprofessional Relations</subject><subject>Length of Stay - economics</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical Records</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Care Planning - organization & administration</subject><subject>Patient Care Team - organization & administration</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Prognosis</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ventilator Weaning - adverse effects</subject><subject>Ventilator Weaning - economics</subject><subject>Ventilator Weaning - methods</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctOAyEUhonR2Fp9BUNi4m6UM8wFlqbxljRxo24JQw92dDpUYGx8e9HWupIEDpDvh_BBCAV2AUzWlyw1nhdVljMGLA0sSx34HhlDydMil3yfjBmTLOOF5CNyFMJrIoqy5odkBJDCnMkxeb62Fk2kzlJNjes63TivY_uBdI26b_sXuup0T11PV2kb-4QO0bgl0rancYHU-Da2RnfUaI80YIwpdEwOrO4CnmzrhDzdXD9O77LZw-399GqWGS4KngkLaQJoGde5ACZAyqIQ87LhdWPyua1ywwFLnZe6wMZCXolaM2mrSgojgE_I-ebclXfvA4aolm0wmJ7RoxuCqitZlSBkAsUGNN6F4NGqlW-X2n8qYOrbqfp1qnZO1Y_TFD3d3jE0S5z_BbcSE3C2BXRIIqzXvWnDjhMS6rpKVLGh1q6L6MNbN6zRqwXqLi7Ufz_KvwB19Yyl</recordid><startdate>200102</startdate><enddate>200102</enddate><creator>Henneman, Elizabeth</creator><creator>Dracup, Kathleen</creator><creator>Ganz, Tomas</creator><creator>Molayeme, Orna</creator><creator>Cooper, Christopher</creator><general>by the Society of Critical Care Medicine and Lippincott Williams & Wilkins</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200102</creationdate><title>Effect of a collaborative weaning plan on patient outcome in the critical care setting</title><author>Henneman, Elizabeth ; Dracup, Kathleen ; Ganz, Tomas ; Molayeme, Orna ; Cooper, Christopher</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3843-8f1c381ef03a28108199448d5b37bc2df62c31e5a25a4ebf12687a09f6698c813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>APACHE</topic><topic>Biological and medical sciences</topic><topic>Cooperative Behavior</topic><topic>Critical Care - organization & administration</topic><topic>Decision Making, Organizational</topic><topic>Emergency and intensive respiratory care</topic><topic>Female</topic><topic>Hospital Costs - statistics & numerical data</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Interprofessional Relations</topic><topic>Length of Stay - economics</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical Records</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Care Planning - organization & administration</topic><topic>Patient Care Team - organization & administration</topic><topic>Patient Readmission - statistics & numerical data</topic><topic>Prognosis</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Ventilator Weaning - adverse effects</topic><topic>Ventilator Weaning - economics</topic><topic>Ventilator Weaning - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Henneman, Elizabeth</creatorcontrib><creatorcontrib>Dracup, Kathleen</creatorcontrib><creatorcontrib>Ganz, Tomas</creatorcontrib><creatorcontrib>Molayeme, Orna</creatorcontrib><creatorcontrib>Cooper, Christopher</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Henneman, Elizabeth</au><au>Dracup, Kathleen</au><au>Ganz, Tomas</au><au>Molayeme, Orna</au><au>Cooper, Christopher</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of a collaborative weaning plan on patient outcome in the critical care setting</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>2001-02</date><risdate>2001</risdate><volume>29</volume><issue>2</issue><spage>297</spage><epage>303</epage><pages>297-303</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>OBJECTIVEThe process of weaning from mechanical ventilation can be complex, requiring collaborative care planning by members of the healthcare team. Improved outcomes have been demonstrated to result from collaborative decision-making processes (e.g., when ventilator teams were utilized). The purpose of this study was to evaluate the effect of a collaborative weaning plan (CWP) on length of time on mechanical ventilation, length of stay in the intensive care unit (ICU), and cost.
DESIGNA new, collaborative weaning plan in the form of a weaning board and flowsheet was introduced into a medical intensive care unit (MICU) setting. A pre- and post-quasi-experimental design using historical controls was used to test the hypotheses. Attempts to control for the effects of history were made by collecting data related to patient, staffing, and organizational variables that could independently effect outcome.
SETTINGMICU in a west coast teaching hospital.
PATIENTSCritically ill patients receiving mechanical ventilation for 3 days or greater.
INTERVENTIONImplementation of a collaborative weaning plan.
MEASUREMENTSOutcomes studied included length of stay in the MICU, length of time patients were mechanically ventilated in the MICU, cost per MICU stay, and the incidence of complications (e.g., reventilation, readmission to the ICU, and mortality rate.)
MAIN RESULTSThe CWP decreased length of stay in the MICU by 3.6 days (p = .03) and length of ventilator time by 2.7 days (p = .06). There were no significant differences between groups related to cost or incidence of complications.
CONCLUSIONSThese results support the usefulness of collaborative structures (such as weaning boards/flowsheets) in decreasing ICU length of stay.</abstract><cop>Hagerstown, MD</cop><pub>by the Society of Critical Care Medicine and Lippincott Williams & Wilkins</pub><pmid>11246309</pmid><doi>10.1097/00003246-200102000-00013</doi><tpages>7</tpages></addata></record> |
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| ispartof | Critical care medicine, 2001-02, Vol.29 (2), p.297-303 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy APACHE Biological and medical sciences Cooperative Behavior Critical Care - organization & administration Decision Making, Organizational Emergency and intensive respiratory care Female Hospital Costs - statistics & numerical data Hospital Mortality Humans Intensive care medicine Interprofessional Relations Length of Stay - economics Length of Stay - statistics & numerical data Male Medical Records Medical sciences Middle Aged Patient Care Planning - organization & administration Patient Care Team - organization & administration Patient Readmission - statistics & numerical data Prognosis Time Factors Treatment Outcome Ventilator Weaning - adverse effects Ventilator Weaning - economics Ventilator Weaning - methods |
| title | Effect of a collaborative weaning plan on patient outcome in the critical care setting |
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