AH

RQ

SA

F E T Y P R O G R A MF O

R M

EC

HA

NI

CA

LLY

VENTILATEDPA

TIE

NT

S•

D a i l y C a r e P r o c es

se

s

ytiliboM

ylraEnoitalitneV

em

ulo

V l

adi

T w

oL

ARDS

PEEP

PLATEAU

TIDALUse tidal volume of 6–8 mL/kg, or 4–6 mL/kg if ARDS is present

Maintain plateau pressure at ≤ 30 cm H2O

Use positive end- expiratory pressure ≥ 5 cm H2O, not ZEEP

Prevent acute respiratory distress syndrome

CUSP

•

•

•

•

Educate staff on the science of safety

Identify defects

Partner with senior executive

Learn from defects

Improve teamwork and communication

•

FF

AT

SE

NI

LT

NORFFOMO

DSI

WE

HT

PA

T

SEDATION

DELIRIUM

SAT

HOB

SBT

SSD-ETTUse subglottic secretion drainage endotracheal tube if intubated ≥ 72 hours

Confirm head of bed elevation ≥ 30o

Minimize sedation level

Assess then address delirium

Perform spontaneous awakening trial - Wake up!

Perform spontaneous breathing trial to wean patient off mechanical ventilation

DELIRIUM

MOBILITY

SEDATION

Tailor goals to maximize mobility

Minimize sedation level

Assess then address delirium

AHRQ Pub. No. 16(17)-0018-24-EF January 2017