Making the safety of patients everyone's highest priority

Critical care

The goal

To improve the care of patients receiving critical care through the reliable application of care bundles.

There are two care bundles within this intervention − Trusts will be able to choose one to start with.

  • The ventilator bundle
  • The central line bundle

The ventilator bundle has four key components:

  1. Elevation of the head of the bed to between 30 and 45 degrees.
  2. Daily ‘sedative interruption’ and daily assessment of readiness
    to extubate.
  3. Peptic ulcer disease (PUD) prophylaxis.
  4. Deep venous thrombosis (DVT) prophylaxis (unless contraindicated).

The central line bundle has five key components:

  1. Hand hygiene.
  2. Maximal barrier precautions.
  3. Use of 2% Chlorhexidine skin antisepsis.
  4. Optimal catheter site selection.
  5. Daily review of central line necessity with prompt removal of unnecessary lines.


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Sponsored by

Sponsored by: National Patient Safety Agency Sponsored by: Institute for Innovation and Improvement Sponsored by: The Health Foundation