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  1. Buckley, Thomas MSN, RNC
  2. Burns, Suzanne M. MSN, RN, RRT, ACNP, CCRN, FAAN, FCCM
  3. Bleck, Thomas MD


The University of Virginia Health System designed a systematic approach to the care of the long-term, mechanically ventilated, adult patient population to improve patient outcomes and use institutional resources more efficiently. The authors discuss their process improvement strategies, barriers to implementation, and project outcomes.