“Bundles are a set of processes of care that, when instituted as a group, provide more robust results than when each process is instituted individually. This is particularly true when components interact with each other synergistically or when partial execution fails to achieve the desired result.Institutions are being asked to implement bundles and to measure adherence to them as part of their quality measures. “Credit” for delivering each component can only be obtained if the entire bundle is executed correctly. In other words, credit for delivery is all or none.
For a bundle to be effective, each component must have an explicit rationale. There should be a logical relationship between the elements (additive and not antagonistic), and there should be strong evidence showing either that each component improves the targeted outcome or that the entire bundle when applied together improves outcomes”
This introduction comes from an evidence based review of VAP bundles from JAMA. Does the VAP bundle work? Read the article and find out for yourself: http://jama.jamanetwork.com/article.aspx?articleid=1187911
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