Loading

logo

International Journal of Anesthesia and Critical Care

ISSN: 2834-2887

Original Research Open Access
Volume 5 | Issue 1 | DOI: https://doi.org/10.33696/Anesthesia.5.013

Assessing Compliance with the FASTHUGBID Care Bundle in a Resource-Limited ICU: Evidence from a Clinical Audit in Ethiopia

Mekuanent Asmare Yizengaw1,*
  • 1Department of Anesthesia, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia
+ Affiliations - Affiliations

Corresponding Author

Mekuanent Asmare Yizengaw, mekuastt2005@gmail.com

Received Date: April 05, 2026

Accepted Date: July 31, 2026

Citation:

Yizengaw MA. Assessing Compliance with the FASTHUGBID Care Bundle in a Resource-Limited ICU: Evidence from a Clinical Audit in Ethiopia. Int J Anaesth Crit Care. 2026;5(1):9–17.


Copyright: © 2026 Yizengaw MA. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Critically ill patients admitted to the Intensive Care Unit (ICU) are at high risk of preventable complications such as ventilator-associated pneumonia, deep vein thrombosis, gastrointestinal bleeding, and malnutrition. These complications significantly increase morbidity, mortality, and healthcare costs. Care bundles are structured sets of evidence-based practices designed to improve the quality and consistency of patient care. The FASTHUGBID mnemonic representing Feeding, Analgesia, Sedation, Thromboembolism prophylaxis, Head-of-bed elevation, Ulcer prophylaxis, Glycemic control, bowel care, indwelling catheter, and de-escalation of drugs is widely used as a daily checklist to ensure comprehensive ICU patient management. However, adherence to this care bundle has not been evaluated in the Intensive Care Unit of Injibara General Hospital, Ethiopia.

Objective: To determine adherence to each component of the FASTHUGBID care bundle among patients admitted to the ICU of Injibara General Hospital, Northwest Ethiopia.

Methods: A retrospective clinical audit was conducted. Medical records of consecutively admitted adult patients in the ICU were reviewed. Data were collected for the first full ICU day of admission using a standardized, piloted audit data-extraction form. Information was obtained from electronic and/or paper-based patient records. Adherence was assessed based on documentation of each FASTHUG component in the daily ICU management records. The predefined audit standard will be 100% daily documentation for each FASTHUGBID component. Descriptive statistics will be used to summarize patient characteristics and calculate overall and component-specific adherence rates.

Results: The audit quantifies adherence rates for each FASTHUG component, identifies areas of optimal practice, and gaps in documentation and clinical implementation.

Conclusion: The findings provide evidence on the level of adherence to the FASTHUG BID care bundle and help to identify opportunities to improve the quality of ICU care through strengthened clinical documentation and implementation of standardized care protocols.

Keywords

FASTHUGBID, Intensive care unit, Clinical audit, Care bundle adherence, Critical care quality improvement, Ethiopia

Recommended Articles

Gender Disparities in Outcomes Following Pulmonary Embolism Treatment in the Intensive Care Unit; A Multi-center Retrospective Cohort Study

Pulmonary embolism (PE) is a blockage of blood flow in the pulmonary artery bed that can result in a life-threatening and potentially reversible right ventricular failure [1]. PE remains one of the leading causes of poor prognosis and death, particularly when a shock or right ventricular failure occurs [2]. According to studies, PE is generally manifested in a nonspecific manner

Estimated Plasma Volume Status (ePVS) for Diastolic Heart Failure in the Intensive Care Unit: A Retrospective Cohort Study

Diastolic heart failure (DHF) is also be regarded as heart failure with preserved ejection fraction (HFpEF), is estimated to occur in 40 to 50% of patients with HF. More than 70% of HF patients over the age of 65 had HFpEF, and the incidence and prevalence of HFpEF has been increased by 10% every 10 years in comparison to HF with reduced ejection fraction (HFrEF), and this gap is expected to widen in the coming years.

A Clinical Audit on the Follow-up Rate and Endodontic Outcome of Root Canal Therapy Performed by Dental Undergraduates

To identify follow-up rate and evaluate the endodontic outcome and their association with technical quality of root canal therapy (RCT) done by dental undergraduates. Technical quality of RCT and follow-up rate visits of 350 teeth from 272 patients after RCT done by dental undergraduates were evaluated retrospectively from year 2012 to 2015 using the electronic records. These patients were recalled to assess the clinical, radiographic and overall endodontic outcome. Clinical and radiographic examinations were done following the criteria in compliance with standards guidelines. 

HIV-1 Treatment Failure among Population Taking Antiretroviral Therapy in Ethiopia

For more than 35 years, the world has grappled with an AIDS epidemic that has claimed an estimated 35.0 million [28.9 million-41.5 million] lives and at its peak threatened global stability and security.

Rate and Predictors of Treatment Failure among Pediatric Population Taking Highly Active Antiretroviral Therapy in Ethiopia

The global scaling up of treatment and care for people living with Human Immunodeficiency Virus (PLHIV) has led to a 43% decline in new HIV pediatric infections since 2003, with 330,000 newly infected children in 2011.

Full Text
Cite
Download PDF
Author Information X

About Scientific Archives

Scientific Archives is a global publisher initiated with the mission of ensuring equal opportunity for accessing science to research community all over the world. Spreading research findings with great relevance to all channels without any barrier is our goal. We want to overcome the challenges of Open Access with ensured quality and transparency.

Read More