Abstract

The Sri Lankan Journal of Anaesthesiology is the official journal of the College of Anaesthesiologists of Sri Lanka. It publishes clinical investigations, research articles, audits, case reports, review articles and CME articles relating to anaesthesiology, critical care and pain. It is published bi annually in January and June. Sri Lankan Journal of Anaesthesiology is included on DOAJ and Scopus.

Highlights

  • The initial concept of a “care bundle” was from the Institute of Healthcare Improvement (IHI), Cambridge, Massachusetts in 2001 to improve critical care processes to a high reliability thereby vastly improving outcomes[1]

  • The entire bundle should be used in the defined population in one location and the compliance is measured using all – or –none measurement with a goal of 95% or greater

  • The first bundles developed by the IHI were the central line bundle and the ventilator bundle

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Summary

Introduction

The initial concept of a “care bundle” was from the Institute of Healthcare Improvement (IHI), Cambridge, Massachusetts in 2001 to improve critical care processes to a high reliability thereby vastly improving outcomes[1]. The concept is expected to enhance teamwork and communication in multidisciplinary teams creating the conditions necessary for safe and quality care of the critically ill. It is a set of evidence based practices which when performed effectively and reliably as a whole are found to improve patient outcome. A checklist has a mixture of “nice to do” tasks or processes which are useful but not evidence based and “have to do” processes, which are proven by randomized controlled trials.

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