Implementation of evidence-based treatments in the daily intensive medical care routine - management of changes in intensive care

In recent years, great scientific progress has been achieved in intensive care medicine. This is evidenced in randomized controlled trails by a reduction of mortality and morbidity in the treatment of sepsis, in ventilation therapy, in sedation and in other forms of treatment. Despite our knowledge of these studies and their importance for patient outcome, implementation in daily routine often takes a long time. The prerequisite for prompt and successful implementation is barrier analysis and subsequent management of changes aimed at achieving agreed action by all participants.