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Table 2 Implementation strategies

From: What are effective strategies for the implementation of care bundles on ICUs: a systematic review

 

Central line bundle

Ventilator bundle

Sepsis bundle

Total number

Professional interventions

    

 Distribution of educational materials

27, 3234

10, 40, 41, 46, 52, 56

6670, 72

16

 Educational meetings

28, 30, 35, 36

35, 41, 42, 53, 59

66, 67, 69, 70, 72

14

 Local consensus processes

 

45, 46, 51, 57

 

4

 Educational outreach visits

2729, 3134, 36, 37

10, 40, 4260/61, 63

6466, 68

34

 Local opinion leaders

34, 36

 

65

3

 Audit and Feedback

27, 28, 3034, 3638

10, 16, 40, 41, 43, 44, 46, 49, 5254, 5662

65, 66, 70

30

 Reminders

2739

10, 35, 3947, 49, 5154, 5659, 63

65

35

 Tailored

 

41, 51, 53, 54, 59

 

5

 Mass media

27, 28, 30, 32

10, 40, 44, 45, 47, 52, 53, 56, 57, 5962

6567, 72

20

 Other; Time-out procedure

2830, 34, 36, 38

49, 54, 60/61

 

9

Patient interventions

    

 Patient-family interventions

 

46, 57, 59

 

3

Organisational interventions

    

 Revision of professional roles

 

59

 

1

 Clinical multidisciplinary teams

28, 35

10, 35, 41, 43, 53, 55, 56, 57, 59, 63

68

13

 Skill mix changes

  

68, 69, 71

3

 Continuity of care

30

  

1

 Satisfaction of providers

31, 33, 36

40, 46, 48, 54, 56

 

8

 Other; Implementation teams

27, 29, 31, 3436

35, 42, 45, 46, 52, 53, 56

65, 68, 69

16

Structural interventions

    

 Changes in medical record system

38

 

64

2

  1. The numbers in the table are reference numbers, except for those in the last column
  2. Central line bundle: 13 studies; Ventilator bundle: 27 studies; Sepsis bundle: 9 studies