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was essential with a rapid cycle improvement over 4 mo to facilitate changes in the electronic documentation. Within 3 mo after initiation, a template was created for a monthly report of compliance to the team. Data was shared with the team and on a central monitor. On-going education and modifications occurred. Targets and plans were discussed during interdisciplinary bedside rounds with the team, patients and families. Results: PAD assessments were monitored from May 2013 until June 2015. Report development and pilot testing were conducted over 13 weeks after a baseline period. Post implementation data from June 2015 was compared to baseline data. During the pre-implementation period, the patient days for pain assessment frequency (≥6 assessments/day) were at 11%. A target for pain level was established at ≤4 and was at 50%. Patient days with RASS assessment (≥6 assessments/day) was reported at 14% initially. Patient days with RASS at target (+1 to-1) was 41%. The frequency of at least 2 CAM-ICU screens (≥2 assessments/ day) was at 28%. Post implementation pain assessment increased to 79%. Patient days with a median level of pain≤4 increased to 91%. RASS assessment frequency post implementation improved to 77%. Attainment of target RASS increased to 69%. Post implementation data for CAM-ICU screens improved to 80%. Conclusions: Implementation success is dependent upon engagement of an interdisciplinary team, administrative support, and sharing progress which promotes a change in culture. This team approach led to significant improvement in assessing PAD.

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