ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Phase I: Is there anImplementation-Problem?
Phase I: Is there anImplementation-Problem?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Perfectamundo?Perfectamundo?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Perfectamundo?Perfectamundo?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
ImIm-Perfectamundo!-Perfectamundo!
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Phase I: Is there anImplementation-Problem
Phase I: Is there anImplementation-Problem
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Phase I: Is there anImplementation-Problem: YES!?
Phase I: Is there anImplementation-Problem: YES!?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Phase II: Effects ofImplementation
Phase II: Effects ofImplementation
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuidelineBarrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuidelineBarrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
1.Current Practices1.Current Practices
2.Survey and Focusgroup 2.Survey and Focusgroup interviewsinterviews
3.Development and Description of a Tailored 3.Development and Description of a Tailored Implementation Strategy for an ICU Delirium Implementation Strategy for an ICU Delirium
GuidelineGuidelineEffects of Improved Adherence Effects of Improved Adherence
to Guideline (Before-After to Guideline (Before-After Design)?Design)?
✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
ICU Delirium is a clinically relevant ICU Delirium is a clinically relevant form of Organ Dysfunction in the form of Organ Dysfunction in the
Critically IllCritically Ill✓Increased Increased mortalitymortality✓Increased Increased LOS at ICULOS at ICU✓Increased Increased costscosts✓Possibly increased Possibly increased complication ratecomplication rate
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Implementation of Dutch Implementation of Dutch ICU Delirium GuidelineICU Delirium Guideline
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Adherence to Dutch Adherence to Dutch ICU Delirium Guideline?ICU Delirium Guideline?
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
Dutch ICU Delirium Dutch ICU Delirium GuidelineGuideline
Prevention, Screening, TreatmentPrevention, Screening, Treatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
AimAim✓Improved Outcome after ICU Improved Outcome after ICU treatmenttreatment
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Center-Tailored Center-Tailored Implementation of Implementation of
GuidelineGuideline
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
Barrier-and-Barrier-and-Facilitator AnalysisFacilitator Analysis
1.Current Practices1.Current Practices
2.Survey and Focusgroup 2.Survey and Focusgroup interviewsinterviews
3.Development and Description of a Tailored 3.Development and Description of a Tailored Implementation Strategy for an ICU Delirium Implementation Strategy for an ICU Delirium
GuidelineGuideline
5.Cost-effectiveness of a 5.Cost-effectiveness of a Tailored Implementation of Tailored Implementation of
an ICUan ICUDelirium GuidelineDelirium Guideline
4.Effect of a Tailored Implementation of an 4.Effect of a Tailored Implementation of an ICUICU
Delirium Guideline on Complications and Delirium Guideline on Complications and MortalityMortality
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?
Effects of Improved Adherence Effects of Improved Adherence to Guideline (Before-After to Guideline (Before-After
Design)?Design)?✓Mortality?Mortality?✓LOS at ICU?LOS at ICU?✓Costs?Costs?✓Complications?Complications?✓Delirium Incidence?Delirium Incidence?