How we collect data for SATs, SBTs, RASS and SAS

How has data collection affected our work flow

Have we made any improvements in patient care?

Barriers with data collection and implementation of measures

Talking Points:

Charts reviewsDone by reviewing the patient's EMR

Daily rounding formDone by night shift ICU nursing manager once

or twice a week

Data Collection: SATs, SBTs, and RASS

Sedation holiday (SAT) performed twice per day (10am&10pm)

Weaning trial (SBT) performed immediately after SAT and patients extubated as needed.

Weaning Readiness Assessment Protocol

Process Measures: SAT Compliance Rate

Process Measures: SBT Compliance Rate

Process Measures: RASS Target

Time constraints Inadequate/inaccurate charting Discrepancies in charting actual RASS and

targeted RASS Risk of Self - Extubation Staffing issues Nurses’ attitudes towards sedation holiday

Barriers to Data collection and implementation of measures

Consistent documentation by Nursing/RT staff

Reduced length of stay on the vent as a result of rigorous SAT/SBT /RASS protocols

Reduced re-intubation rates Decrease length of ICU and hospital stay

Success Stories

Unplanned Extubations and Re-intubations

July August September October November December0

1

2

3

4

5

6

7

1

6

0

2

0

2

Incidence of Unplanned ExtubationsLinear (Incidence of Unplanned Extuba-tions)Number Of Re-Intubations:

Average length of Stay on the Vent

Q32014 Q420143.8

3.9

4

4.1

4.2

4.3

4.4

4.5

4.6

ALOS on Vent ( Days):