Co-primary outcome (implementation)
EVENTS, EVENT
The co-primary outcome for implementation is adherence to C-SAT/SBT (Table Implementation and clinical effectiveness outcomesA C-SAT/SBT adherent day is defined as an eligible patient day when the patient is both SAT adherent and SBT adherent (defined below). Additionally, if an SAT was passed, then at least one of the following criteria must be met: (1) the SBT event must also follow the SAT event and occur within 2 h, or (2) the SAT and SBT events must both occur before noon and contain charted evidence that the patient was responding to commands when the SBT event occurred.An SAT adherent day is defined as an eligible patient day when charted evidence of any one or more of the following is documented: extubation, no sedation, SAT contraindication, successfully passed SAT, performed but failed SAT, or no SAT necessary (i.e., the patient is awake and responsive).An SBT adherent day is defined as an eligible patient day when charted evidence of any one or more of the following is documented: extubation, SBT contraindication, documentation of spontaneous parameters, or performed SBT.