Table 2.

Documented reasons for ABCDE bundle components not being completed

Bundle Component	Reason not completed, % (N)
Awakening trial	Adherent – Failed Screen
	33.3 (65) Respiratory instability
	26.2 (51) Agitation
	17.4 (34) Myocardial ischemia
	13.3 (26) Paralytic infusion or neuro instability
	NonAdherent
	5.1 (10) Patient off unit
	4.6 (9) Other, SAT was indicated
Breathing trial	Adherent – Failed Screen
	36.9 (168) PEEP >7.5
	19.7 (87) FiO2 >50%
	13.4 (61) Failed SAT, no SBT
	11.6 (53) Significant vasopressor infusion
	6.2 (28) Agitation
	4.6 (21) Respiratory or myocardial instability
	NonAdherent
	3.1 (12) Patient off unit/other
	3.7 (17) Other, SBT was indicated
Coordination	Not recorded
Delirium assessment/management	Not recorded
Early mobility	Adherent – Failed Screen
	23.8 (113) RASS -4 or -5
	17.7 (84) PEEP >10
	11.8 (56) FiO2 >60%
	9.9 (47) Increased vasopressors in last 2 hours
	3.4 (16) Respiratory or myocardial instability
	Adherent – Other reason
	8.4 (40) Recent effect of sedative medications
	4.9 (23) Clinical team refused
	1.7 (8) Other, mobility not indicated
	NonAdherent
	16.7 (79) Unknown, mobility was indicated
	1.3 (6) No staff or staff unavailable
	<1 (2) Patient of unit

Abbreviations: FiO2=Fraction of inspired oxygen, PEEP=Positive End Expiratory Pressure, RASS=Richmond Agitation-Sedation Scale, SAT=Spontaneous Awakening Trial, SBT=Spontaneous Breathing Trial