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Point/Counterpoint Editorials |

Counterpoint: Are the Best Patient Outcomes Achieved When ICU Bundles Are Rigorously Adhered To? NoBest Outcomes When ICU Bundles Used? No

Paul E. Marik, MD; Karthik Raghunathan, MD, MPH; Joshua Bloomstone, MD
Author and Funding Information

From the Division of Pulmonary and Critical Care Medicine (Dr Marik), Eastern Virginia Medical School; Department of Anesthesiology (Dr Raghunathan), Duke University Medical Center; Durham VA Medical Center (Dr Raghunathan); and Department of Anesthesiology and Perioperative Medicine (Dr Bloomstone), Banner Thunderbird Medical Center.

Correspondence to: Paul E. Marik, MD, FCCP, Eastern Virginia Medical School, 825 Fairfax Ave, Ste 410, Norfolk, VA 23507; e-mail: marikpe@evms.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(2):374-378. doi:10.1378/chest.13-0848
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Extract

The Institute for Healthcare Improvement (IHI) promotes the concept of bundles to help health care providers more reliably deliver the best possible care for patients undergoing particular treatments with inherent risks.”1 It defines a bundle as a “structured way of improving the processes of care and patient outcomes: a small, straightforward set of evidence-based practices—generally three to five—that, when performed collectively and reliably, have been proven to improve patient outcomes.”1 Furthermore, the IHI states that “bundles tie the changes together into a package of interventions that people know must be followed for every patient, every single time” and that the

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