Protocols for the obvious: Where does it start, and stop?

Armand R.J. Girbes, Paul E Marik

Research output: Contribution to journalEditorialAcademicpeer-review

3 Citations (Scopus)


Protocols can be helpful in specific situations and may have show benefits in clinical trials. So-called evidence based protocols and checklists frequently remind clinicians to do the obvious, but may also contain as part of a bundle, elements that are not based on the best current evidence. However, so called quality improvement programs frequently call for implementation of the total bundle. We think this is basically wrong and warn against that practice.

Original languageEnglish
Article number42
JournalAnnals of intensive care
Issue number1
Publication statusPublished - 1 Dec 2017


  • Intensive care
  • Protocols
  • Quality improvement
  • Safety

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