1. Loberg, Rachel A. DNP, RN, FNP, NE-BC
  2. Smallheer, Benjamin A. PhD, RN, ACNP-BC, FNP-BC, CCRN, CNE
  3. Thompson, Julie A. PhD


Sepsis affects 1.7 million Americans annually and often requires an intensive care unit (ICU) stay. Survivors of ICU can experience long-term negative effects. This quality improvement initiative was designed to increase compliance with ABCDEF bundle elements and improve clinical outcomes. A significant improvement was seen in the completion of spontaneous awakening and breathing trials (P = .002), delirium assessment (P = .041), and early mobility (P = .000), which was associated with a reduction in mortality and 30-day readmission rates. Findings were consistent with other research that demonstrated an improvement in care delivery and some clinical outcomes.