Related Experiment Video
Updated: Mar 12, 2026
Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
Effect of ABCDE Bundle Implementation on Prevalence of Delirium in Intensive Care Unit Patients
Mandy Bounds1, Stacey Kram2, Karen Gabel Speroni2
1Mandy Bounds is a former nurse manager at University of Maryland Shore Medical Center at Dorchester, Cambridge, Maryland. Stacey Kram is a former nurse manager at University of Maryland Shore Regional Health, Easton, Maryland. Karen Gabel Speroni is chair of the nursing research council, University of Maryland Shore Regional Health. Kim Brice is an intensive care unit (ICU)/telemetry clinical educator/ICU staff nurse at University of Maryland Shore Medical Center at Easton, Easton, Maryland. Mary Anne Luschinski is an ICU staff nurse at University of Maryland Shore Medical Center at Easton. Stephanie Harte is a former physical therapist at University of Maryland Shore Medical Center at Dorchester and Easton. Marlon G. Daniel is a biostatistician at University of Maryland Shore Regional Health. mbounds@umm.edu.
Background:
The ABCDE bundle incorporates multidisciplinary measures to improve and/or preserve patients' physical, functional, and neurocognitive status through awakening and breathing coordination, delirium prevention and management, and early physical mobility.
Objectives:
To quantify the prevalence and duration of delirium in patients in the intensive care unit (ICU) before and after implementation of the ABCDE bundle.
Methods:
Delirium prevalence was defined as the percentage of patients who had at least 1 positive delirium score on the Intensive Care Delirium Screening Checklist (ICDSC) during the ICU stay; delirium duration was the number of days during the ICU stay that a positive ICDSC score was noted. Retrospective data were collected from before and after implementation of the ABCDE bundle.
Results:
Of the 159 records reviewed (80 before and 79 after bundle implementation), most were for white men (mean age, 66.3 years). After implementation of the ABCDE bundle, the prevalence of delirium decreased significantly (from 38% to 23%, P = .01) and the mean number of days of delirium decreased significantly (from 3.8 to 1.72 days, P < .001). The number of patients with delirium-free stays increased after bundle implementation.
Conclusions:
Implementation of the ABCDE bundle led to significant decreases in the prevalence and duration of delirium in ICU patients.
Related Concept Videos
01:23Methods of Documentation V: CBE
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
01:28Acute Coronary Syndrome IV: Interprofessional Care
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:26Methods of Documentation IV: Focus Charting
It typically involves three columns for recording information:
01:26Acute Coronary Syndrome V: Nursing Management