Although the last decade of research has demonstrated the importance of comprehensive bundled care in conjunction with compliance mechanisms to reduce patient mortality, it is not clear that SEP-1 achieves this aim.
Adoption of Community-Based Education programs, if combined with provision of a good working and living environment in rural areas, could produce what Lehmann [ 15] calls a "bundle of comprehensive interventions" which are more likely to succeed in attracting and retaining health workers in these areas.
At the same time health planners should take advantage of the impact of Community-Based Education programs and work to provide a "bundle of comprehensive interventions" which take into account community-based training and improved work and living conditions in rural areas.
In Michigan, a comprehensive approach based on a bundle of care combined with an improvement in the safety culture and teamwork was associated with a dramatic decrease in CLABSIs, from 7.7 to 1.4 per 1,000 CVC-days, in 103 ICUs (1,981 ICU months; 375,757 catheter-days) [60], and this effect was sustained [63].
In Michigan, a comprehensive approach based on a bundle of care combined with an improvement in the safety culture and teamwork was associated with a dramatic decrease in CLABSIs, from 7.7 to 1.4 per 1,000 CVC-days, in 103 ICUs (1,981 ICU months; 375,757 catheter-days) [ 60], and this effect was sustained [ 63].
To optimize ventilatory management, a lung-protective ventilatory bundle of treatment was adopted comprehensive of high PEEP - low tidal volume, apnea test execution during continuous positive airway pressure - CPAP, and lung recruitment maneuvers.
Higher education offers a bundle of different value propositions — tuition, housing, athletics and so on — for one large comprehensive fee.
A bundle of stinking rags and flesh".
Bundle of creativity, humor and joy.
