RCGP Quick guide: Care bundlesPublished: 24th January 2017
This is an accepted method of measuring more than one indicator is known as a care bundle.
The definition of a care bundle from the Institute for Healthcare Improvement is as follows:
“A bundle is a structured way of improving the processes of care and patient outcomes. A small, straightforward set of evidence-based practices – generally three to five – that, when performed collectively and reliably, have been proven to improve patient outcomes.”
Care bundles are useful when you wish to implement a series of indicators that are all important in achieving the outcome. They provide an all or nothing measurement and the achievement is measured over time.
Download RCGP Quick guide: Care bundles
Care bundles are applied to a defined patient population and care settings over a defined time period and it is important that they are not seen as simple checklists. The indicators ideally are evidence-based and relate to specific patient group or condition.
Taking the example of diabetic indicators, all of the following would have to be achieved:
- BMI measurement
- BP measurement
- HbA1c measurement
- Cholesterol measurement
- Record of smoking status
- Foot examination
- Albumin: creatinine ratio
- Serum creatinine measurement.
Each indicator is one that is routinely delivered or considered for every patient within a time period.
Step 1: Measure each indicator
Step 2: All measures must be achieved before the bundle is complete
Step 3: Reflect on the results
Step 4: Plan and test any changes required
Step 5: Monitor the change by continuing to use the bundle