9.8 Sedation, scoring and management on critical care

Published 07/06/2024

Quality improvement methodology

  • Assessment of compliance with sedation guidelines, scoring system and recorded daily sedation hold.
  • Audit the use of specific sedation agents with defined target sedation score.
  • Sedation hold strategies – compliance and acceptance, education programmes and safety concerns.
  • Monitoring compliance with sedation hold in the context of a ventilator care bundle.
  • Use of weekly/fortnightly collection of these data, which can be displayed on run charts and interventions and changes can be tracked with this data.
  • Impact of following sedation guidelines and sedation holds on morbidity and mortality, particularly reduction in the number of days on mechanical ventilation, length of ICU stay and incidence of delirium.