Strikingly, just 9% of PICUs incorporated all six ABCDEF bundle components into routine practice. Keywords: assessing pain; both spontaneous awakening and breathing trials; choice of sedation; delirium monitoring/management; early exercise/mobility; and family engagement/empowerment bundle; choosing wisely for critical care; intensive care unit liberation; quality improvement EN assessing pain both spontaneous awakening and breathing trials choice of sedation delirium monitoring/management early exercise/mobility and family engagement/empowerment bundle choosing wisely for critical care intensive care unit liberation quality improvement 163 165 3 12/21/21 20220101 NES 220101 Among critically ill adults, implementation of the ICU Liberation Assessing Pain, Both Spontaneous Awakening and Breathing Trials, Choice of Sedation, Delirium Monitoring/Management, Early Exercise/Mobility, and Family Engagement/Empowerment (ABCDEF) Bundle is associated with improvements in a number of important outcomes, including survival ([[1], [3]]). Ista et al ([4]) describe that most PICUs (91%) reported routine assessment and documentation of pain; however, there was marked variability in frequency of pain assessment. [Extracted from the article]