Safe Brain Initiative


The Safe Brain Initiative is an international non-profit research driven project. Our goal is the improvement of cerebral outcomes after surgery, anaesthesia and in the ICU. It was founded and nurtured by a group of dedicated medical, nursing and research specialists at the NSR Hospitals in Denmark for the promotion of patient centered care. The aim of the SBI is to decrease the incidence of postoperative delirium (POD) through evidence-based and guideline-recommended, non-invasive high quality, core measures. The main hypothesis of the SBI is that implementation of these core recommendations, will reduce the postoperative delirium incidence in our daily clinical routine.

 

Recommendations

PREOPERATIVE

The SBI recommendations focusing on the pre-surgical period

INTRAOPERATIVE

The SBI recommendations focusing on the intra-operative period

POSTOPERATIVE

The SBI recommendations focusing on the postoperative period in the PACU and on ward

PERIOPERATIVE

The SBI recommendation relevant for all peri-operative phases (pre-, intra- and postoperative)

Postoperative delirium

Reasons to make a change

Postoperative delirium (POD) is a serious complication with an incidence rate of up to 70%. POD is associated with several deleterious clinical consequences such as short and long-term cognitive morbidity, increased short and long-term mortality and reduced quality of life. In 2016, we initiated a quality improvement project called the Safe Brain Initiative (SBI) in the Naestved Clinic. The aim of the SBI is to decrease the incidence of POD through evidence based and guideline recommended non-invasive core measures. 
The main hypothesis of the SBI is that 


implementation of the high-quality and non-invasive core recommendations will reduce the postoperative delirium incidence in our daily clinical routine. Through the SBI approach the gap between current guideline recommendations and their implementation into the daily clinical routine (patient’s bedside) will be decreased and thereby help clinicians to improve patient centered outcomes.

The Safe Brain Initiative offers an “easy to use“ methodology for the enhancement of knowledge in regard to current guideline

and research evidence as well as marked expert opinion on peri-operative brain protection. Furthermore, we offer advice and solutions - in a non-profit manner - on how to become an expert and participate in the SBI approach. We want to provide tools, background and contact for Workshop participation as well as support for the interested healthcare professional.

Source:
EUR J Anaesthesiolgy 2017 Apr;34(4):192-214. doi: 10.1097/EJA
Crit Care Med. 2018 Sep;46(9):e825-e873
Ger Med Sci 2015; 13: Doc19

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