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Authors

  1. Mancheril, Benjamin PharmD, BCPS, BCCCP
  2. Kram, Bridgette PharmD, BCPS, BCCCP
  3. Schultheis, Jennifer PharmD, BCPS, BCCCP
  4. Kram, Shawn PharmD, BCPS, BCCCP
  5. Trammel, Morgan PharmD, BCCCP
  6. Liu, Beiyu PhD, MS
  7. Jordan, Weston MS
  8. Cox, Christopher E. MD, MPH

Abstract

Background: Consensus guidelines for pain, agitation, and delirium (PAD) in mechanically ventilated patients recommend maintaining a light level of sedation.

 

Local Problem: Consistent attainment of target PAD assessments in mechanically ventilated ICU patients is often challenging.

 

Methods: This is a single-center, prospective study.

 

Interventions: In the intervention group, a pharmacist provided weekly feedback to nurses on their success in achieving target PAD assessments compared with a historical cohort without feedback.

 

Results: Overall, 478 patients and 205 nurses were included. The odds of having weekly Richmond Agitation-Sedation Scale (RASS) score, pain score goals, and Confusion Assessment Method for the ICU (CAM-ICU) negative assessments at goal between the intervention and control groups fluctuated over time without a discernible trend.

 

Conclusion: The provision of weekly feedback to nurses on PAD nursing assessments by a pharmacist did not impact the achievement of PAD goals among critically ill mechanically ventilated patients.