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ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill

Center-Tailored Implementation of Guideline. Barrier-and-Facilitator Analysis. Implementation of Dutch ICU Delirium Guideline. Adherence to Dutch ICU Delirium Guideline?. ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill Increased mortality

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ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill

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  1. Center-Tailored Implementation of Guideline Barrier-and-Facilitator Analysis Implementation of Dutch ICU Delirium Guideline Adherence to Dutch ICU Delirium Guideline? • ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Dutch ICU Delirium Guideline Prevention, Screening, Treatment • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? • Aim • Improved Outcome after ICU treatment

  2. ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Dutch ICU Delirium Guideline Prevention, Screening, Treatment Adherence to Dutch ICU Delirium Guideline? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Implementation of Dutch ICU Delirium Guideline Center-Tailored Implementation of Guideline • Aim • Improved Outcome after ICU treatment

  3. ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Dutch ICU Delirium Guideline Prevention, Screening, Treatment Adherence to Dutch ICU Delirium Guideline? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Implementation of Dutch ICU Delirium Guideline Center-Tailored Implementation of Guideline • Aim • Improved Outcome after ICU treatment

  4. ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Dutch ICU Delirium Guideline Prevention, Screening, Treatment Implementation of Dutch ICU Delirium Guideline Adherence to Dutch ICU Delirium Guideline? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline • Aim • Improved Outcome after ICU treatment

  5. ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Dutch ICU Delirium Guideline Prevention, Screening, Treatment Phase I: Is there an Implementation-Problem? Implementation of Dutch ICU Delirium Guideline Adherence to Dutch ICU Delirium Guideline? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline • Aim • Improved Outcome after ICU treatment

  6. Dutch ICU Delirium Guideline Prevention, Screening, Treatment • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Adherence to Dutch ICU Delirium Guideline? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline Implementation of Dutch ICU Delirium Guideline

  7. Dutch ICU Delirium Guideline Prevention, Screening, Treatment Adherence to Dutch ICU Delirium Guideline? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline Implementation of Dutch ICU Delirium Guideline

  8. Dutch ICU Delirium Guideline Prevention, Screening, Treatment Adherence to Dutch ICU Delirium Guideline? Perfectamundo? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline Implementation of Dutch ICU Delirium Guideline

  9. Dutch ICU Delirium Guideline Prevention, Screening, Treatment Adherence to Dutch ICU Delirium Guideline? Perfectamundo? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline

  10. Dutch ICU Delirium Guideline Prevention, Screening, Treatment Adherence to Dutch ICU Delirium Guideline? Im-Perfectamundo! • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline Implementation of Dutch ICU Delirium Guideline

  11. Dutch ICU Delirium Guideline Prevention, Screening, Treatment Adherence to Dutch ICU Delirium Guideline? Barrier-and-Facilitator Analysis • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Center-Tailored Implementation of Guideline Implementation of Dutch ICU Delirium Guideline

  12. Dutch ICU Delirium Guideline Prevention, Screening, Treatment Adherence to Dutch ICU Delirium Guideline? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Implementation of Dutch ICU Delirium Guideline

  13. ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Dutch ICU Delirium Guideline Prevention, Screening, Treatment Implementation of Dutch ICU Delirium Guideline Adherence to Dutch ICU Delirium Guideline? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline • Aim • Improved Outcome after ICU treatment

  14. ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Dutch ICU Delirium Guideline Prevention, Screening, Treatment Phase I: Is there an Implementation-Problem Implementation of Dutch ICU Delirium Guideline Adherence to Dutch ICU Delirium Guideline? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline • Aim • Improved Outcome after ICU treatment

  15. ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Dutch ICU Delirium Guideline Prevention, Screening, Treatment Phase I: Is there an Implementation-Problem: YES!? Implementation of Dutch ICU Delirium Guideline Adherence to Dutch ICU Delirium Guideline? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline • Aim • Improved Outcome after ICU treatment

  16. ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Dutch ICU Delirium Guideline Prevention, Screening, Treatment Implementation of Dutch ICU Delirium Guideline Adherence to Dutch ICU Delirium Guideline? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline • Aim • Improved Outcome after ICU treatment

  17. ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Dutch ICU Delirium Guideline Prevention, Screening, Treatment Implementation of Dutch ICU Delirium Guideline Phase II: Effects of Implementation Adherence to Dutch ICU Delirium Guideline? • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline • Aim • Improved Outcome after ICU treatment

  18. Implementation of Dutch ICU Delirium Guideline • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? • ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Center-Tailored Implementation of Guideline Barrier-and-Facilitator Analysis • Aim • Improved Outcome after ICU treatment Dutch ICU Delirium Guideline Prevention, Screening, Treatment Adherence to Dutch ICU Delirium Guideline?

  19. Implementation of Dutch ICU Delirium Guideline • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? • ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate Center-Tailored Implementation of Guideline Barrier-and-Facilitator Analysis • Aim • Improved Outcome after ICU treatment Dutch ICU Delirium Guideline Prevention, Screening, Treatment Adherence to Dutch ICU Delirium Guideline?

  20. Implementation of Dutch ICU Delirium Guideline Adherence to Dutch ICU Delirium Guideline? Barrier-and-Facilitator Analysis Center-Tailored Implementation of Guideline • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? • ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate • Aim • Improved Outcome after ICU treatment Dutch ICU Delirium Guideline Prevention, Screening, Treatment

  21. Implementation of Dutch ICU Delirium Guideline Adherence to Dutch ICU Delirium Guideline? 1.Current Practices Barrier-and-Facilitator Analysis 2.Survey and Focusgroup interviews Center-Tailored Implementation of Guideline 3.Development and Description of a Tailored Implementation Strategy for an ICU Delirium Guideline • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? • ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate • Aim • Improved Outcome after ICU treatment Dutch ICU Delirium Guideline Prevention, Screening, Treatment

  22. Implementation of Dutch ICU Delirium Guideline Adherence to Dutch ICU Delirium Guideline? 1.Current Practices Barrier-and-Facilitator Analysis 2.Survey and Focusgroup interviews Center-Tailored Implementation of Guideline 3.Development and Description of a Tailored Implementation Strategy for an ICU Delirium Guideline • Effects of Improved Adherence to Guideline (Before-After Design)? • Mortality? • LOS at ICU? • Costs? • Complications? • Delirium Incidence? 4.Effect of a Tailored Implementation of an ICU Delirium Guideline on Complications and Mortality 5.Cost-effectiveness of a Tailored Implementation of an ICU Delirium Guideline • ICU Delirium is a clinically relevant form of Organ Dysfunction in the Critically Ill • Increased mortality • Increased LOS at ICU • Increased costs • Possibly increased complication rate • Aim • Improved Outcome after ICU treatment Dutch ICU Delirium Guideline Prevention, Screening, Treatment

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