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Epic and Oracle are the first electronic EHR services to incorporate the ICU Liberation Bundle into their EHR software and hence into clinicians’ workflows.
The Society of Critical Care Medicine (SCCM) ICU Liberation Committee has partnered with Epic and Oracle, formerly Cerner, to incorporate the ICU Liberation Bundle (A-F) for adult and pediatric patients into clinicians’ workflows. The bundle’s evidence-based practices enhance patient care in both adult and pediatric patient populations and are now at the fingertips of critical care clinicians.
Contact your institution’s administration or IT department to learn more. Please note that customization or modification of the SCCM ICU Liberation build does not require permission from SCCM.
For Epic Users
Epic for Adult Patients
For Oracle Users
Oracle for Adult and Pediatric Patients
The ICU Liberation Minimum Data Set serves as the foundation for this partnership with Epic and Oracle. While hospitals are allowed to customize the builds, it is crucial to note that certain aspects of the bundle are essential and are directly linked to SCCM’s definitions of ICU Liberation Bundle compliance.
To access the ICU Liberation Minimum Data Set, download the ICU Liberation Implementation Toolkit.
The following aspects of the SCCM ICU Liberation Bundle build are essential. These elements must remain unchanged to ensure alignment with SCCM’s standards for bundle compliance. Use of alternative assessment tools will not meet SCCM standards.
Adult Patients
To ensure compliance with the ICU Liberation Bundle for adult patients, one or more of the following validated assessment tools in each domain must be used.
Pain assessment:
Sedation assessment:
Delirium screening:
Pediatric Patients
To ensure compliance with the ICU Liberation Bundle for pediatric patients, one or more of the following validated assessment tools in each domain must be used.
Pain assessment:
Sedation assessment:
Delirium screening:
The SCCM ICU Liberation Committee has included safety screen and outcome criteria for both the B and E elements of the bundle in the Epic and Oracle flowsheets. These criteria, based on robust evidence, serve as recommendations and can be customized without any impact on compliance, allowing institutions flexibility in adapting these criteria according to their unique best practices and protocols. The customizable aspects are:
This video is an overview of the ICU Liberation Bundle (A-F) Epic and Oracle builds. Experts share their invaluable experiences, insights, and best practices for successful bundle integration.
“ ”The adoption of the ICU Liberation Bundle in EHR systems is a game-changer for improving the care of ICU patients. Following the evidence-based guidelines featured in the bundle has proven to reduce the likelihood of hospital death within seven days and cut readmissions in half, along with other improved patient outcomes. The challenge in ensuring the guidelines are adopted at all hospitals has been getting them in front of clinicians during the course of care. Inclusion of the bundle in an EHR is one of the most impactful ways to ensure they are implemented.
The Society of Critical Care Medicine does not endorse any specific product, platform, or other information that may be mentioned on this web page.
