Improving ABCDEF Bundle Compliance and Clinical Outcomes in the ICU: Randomized Control Trial to Assess the Impact of Performance Measurement, Feedback, and Data Literacy Training.

Objectives: Describe the effects of data literacy training and continuous performance reports on ICU staff compliance with the 6-element ICU quality bundle approach known as the ABCDEF (A-F) bundle and patient outcomes.

Design: Stepped-wedge cluster randomized trial conducted during an institutional A-F bundle implementation program.

Setting: Single-center study conducted in eight adult ICUs.