Literature DB >> 23534854

An interprofessional process to improve early identification and treatment for sepsis.

Maria Teresa Palleschi, Susanna Sirianni, Nancy O'Connor, Deborah Dunn, Susan M Hasenau.   

Abstract

The course of sepsis is rapid. Patient outcomes improve when sepsis is diagnosed and treated quickly. The clinical goals of the evidence-based bundled strategies from the International consortium Surviving Sepsis Campaign (SSC) include optimizing timeliness in the delivery of care and creating a continuum for sepsis management that runs from the emergency department (ED) to the acute and critical care settings. Successful implementation of processes that integrate sepsis bundles can improve patient mortality and hospital costs. Improving interprofessional education and collaboration are necessary to facilitate the effective use of bundled strategies. An intervention that included interprofessional education resulted in a statistically significant difference between the three phases studied. There was a statistically significant improvement between the phases for lactate completion X(2) = 16.908 (p < .01) after education. Frequency of blood cultures being obtained before antibiotic administration was nearing statistical significance (p < .054). There was an improvement in time to antibiotic administration between phase 2 (182.09 mean average minutes, SD = 234.06) and phase 3 (91.62 mean average minutes, SD = 167.99).
© 2013 National Association for Healthcare Quality.

Entities:  

Keywords:  education; evidence-based; information; management/systems/computerization; nursing; practice/guidelines; research-quantitative

Mesh:

Year:  2013        PMID: 23534854     DOI: 10.1111/jhq.12006

Source DB:  PubMed          Journal:  J Healthc Qual        ISSN: 1062-2551            Impact factor:   1.095


  5 in total

1.  Clinician Perception of a Machine Learning-Based Early Warning System Designed to Predict Severe Sepsis and Septic Shock.

Authors:  Jennifer C Ginestra; Heather M Giannini; William D Schweickert; Laurie Meadows; Michael J Lynch; Kimberly Pavan; Corey J Chivers; Michael Draugelis; Patrick J Donnelly; Barry D Fuchs; Craig A Umscheid
Journal:  Crit Care Med       Date:  2019-11       Impact factor: 7.598

2.  Secondary Analysis of an Electronic Surveillance System Combined with Multi-focal Interventions for Early Detection of Sepsis.

Authors:  Bonnie L Westra; Sean Landman; Pranjul Yadav; Michael Steinbach
Journal:  Appl Clin Inform       Date:  2017-01-18       Impact factor: 2.342

Review 3.  Identifying Patients With Sepsis on the Hospital Wards.

Authors:  Poushali Bhattacharjee; Dana P Edelson; Matthew M Churpek
Journal:  Chest       Date:  2016-07-01       Impact factor: 9.410

Review 4.  Effect of performance improvement programs on compliance with sepsis bundles and mortality: a systematic review and meta-analysis of observational studies.

Authors:  Elisa Damiani; Abele Donati; Giulia Serafini; Laura Rinaldi; Erica Adrario; Paolo Pelaia; Stefano Busani; Massimo Girardis
Journal:  PLoS One       Date:  2015-05-06       Impact factor: 3.240

5.  Factors influencing awareness of healthcare providers on maternal sepsis: a mixed-methods approach.

Authors:  Vanessa Brizuela; Mercedes Bonet; João Paulo Souza; Özge Tunçalp; Kasisomayajula Viswanath; Ana Langer
Journal:  BMC Public Health       Date:  2019-06-03       Impact factor: 3.295

  5 in total

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