ArticleJournal of critical care2019
Ability to predict team members' behaviors in ICU teams is associated with routine ABCDE implementation.
Article in Journal of critical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Teamwork and implementation of innovations in healthcare and human service settings: a systematic review.Implementation science : IS · 2024Pooled it
- A rapid evaluation of quality of sedation and ventilation care processes for critically ill patients in Vietnam.PloS one · 2026Article
- An electronic health record metadata-mining approach to identifying patient-level interprofessional clinician teams in the intensive care unit.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Delirium and Coronavirus Disease 2019: Looking Back, Moving Forward.Critical care nursing clinics of North America · 2024Review
- Shift-Level Team Familiarity Is Associated with Improved Outcomes in Mechanically Ventilated Adults.American journal of respiratory and critical care medicine · 2024Article
- Patterns of interactions among ICU interprofessional teams: A prospective patient-shift-level survey approach.PloS one · 2024Article
- Investigating Why Clinicians Deviate from Standards of Care: Liberating Patients from Mechanical Ventilation in the ICU.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2024Article
- Lessons Learned From a Systematic, Hospital-Wide Implementation of the ABCDEF Bundle: A Survey Evaluation.Critical care explorations · 2023Article
- Awakening and Breathing Coordination: A Mixed-Methods Analysis of Determinants of Implementation.Annals of the American Thoracic Society · 2023Article
- Extubation of Patients Receiving Vasopressor Infusions: Results of a Survey on Statewide Practices.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2023Article
- Implementation of the "awakening and breathing trials, choice of drugs, delirium management, and early exercise/mobility" bundle in the pediatric intensive care unit of tertiary hospitals in southwestern China: a cross-sectional survey.The Journal of international medical research · 2021Article
- A Scoping Review of Implementation Science in Adult Critical Care Settings.Critical care explorations · 2020Article
- Organizational Characteristics Associated With ICU Liberation (ABCDEF) Bundle Implementation by Adult ICUs in Michigan.Critical care explorations · 2020Article
- Knowing your team in the intensive care unit: an ethnographic study on familiarity.Journal of interprofessional careArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
purposePoor coordination may impede delivery of the Awakening, Breathing Coordination, Delirium monitoring/management and Early exercise/mobility (ABCDE) bundle. Developing a shared mental model (SMM), where all team members are on the same page, may support coordination. MATERIALS AND
methodsWe administered a survey at the 2016 MHA Keystone Center ICU workshop. We measured different components of SMMs using five items from a validated survey, each on a 5-point Likert scale (strongly agree-strongly disagree). We measured self-reported routine ABCDE implementation using a single item 4-point Likert scale (ABCDE is routine-Made no steps to implement ABCDE). We examined the relationship between SMMs and routine ABCDE implementation using logistic regression, adjusting for confounders.
resultsAmong the 206 (75%) responses, 157 (84%) reported using the ABCDE bundle and 80 (51% of 157) reported routine use. When clinicians agreed it was difficult to predict team members' behaviors, the odds of reporting routine ABCDE implementation significantly decreased [0.26 (0.10-0.66)]. Other SMM components related to knowing team members' skills, access to information, team adaptability, and team help behavior, were not significantly associated with the outcome.
conclusionIncreasing awareness of team members' behaviors may be a mechanism to improve the implementation of complex care bundles like ABCDE.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.