Adult Sepsis Guidelines Children's Sepsis Guidelines
Adult ICU Liberation Guidelines PANDEM Guidelines for Children and Infants
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The goal of the Society of Critical Care Medicine’s (SCCM) Choosing Wisely® daily care rounding checklist is to provide a structured approach to maximize integration of evidence-based practices, avoid waste, and deliver safe, high-value critical care. Consideration should be given to the patient’s clinical status and acuity level when considering each recommendation for implementation that day. Other interventions based on local protocols and ICU type can be added to this list.
Five new recommendations to reduce waste and enhance value in the practice of critical care address invasive devices, proactive liberation from mechanical ventilation, antibiotic stewardship, early mobilization, and providing goal-concordant care.
Ranjit Deshpande, MD, and Ruth M. Kleinpell, PhD, RN, ACNP, FCCM, discuss the results of the Choosing Wisely national survey from the Critical Care Societies Collaborative (Kleinpell R, et al. Crit Care Med. 2019;47:331-336).