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An interprofessional process to improve early identification and treatment for sepsis.
J Healthc Qual. 2014 Jul-Aug; 36(4):23-31.JH

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).

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Authors

Palleschi MT
No affiliation info available
Sirianni S
No affiliation info available
O'Connor N
No affiliation info available
Dunn D
No affiliation info available
Hasenau SM
No affiliation info available

MeSH

Critical CareEarly DiagnosisGuideline AdherenceHealth OccupationsHumansPractice Guidelines as TopicSepsisShock, Septic

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23534854

Citation

Palleschi, Maria Teresa, et al. "An Interprofessional Process to Improve Early Identification and Treatment for Sepsis." Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality, vol. 36, no. 4, 2014, pp. 23-31.
Palleschi MT, Sirianni S, O'Connor N, et al. An interprofessional process to improve early identification and treatment for sepsis. J Healthc Qual. 2014;36(4):23-31.
Palleschi, M. T., Sirianni, S., O'Connor, N., Dunn, D., & Hasenau, S. M. (2014). An interprofessional process to improve early identification and treatment for sepsis. Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality, 36(4), 23-31. https://doi.org/10.1111/jhq.12006
Palleschi MT, et al. An Interprofessional Process to Improve Early Identification and Treatment for Sepsis. J Healthc Qual. 2014 Jul-Aug;36(4):23-31. PubMed PMID: 23534854.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An interprofessional process to improve early identification and treatment for sepsis. AU - Palleschi,Maria Teresa, AU - Sirianni,Susanna, AU - O'Connor,Nancy, AU - Dunn,Deborah, AU - Hasenau,Susan M, Y1 - 2013/03/27/ PY - 2013/3/29/entrez PY - 2013/3/29/pubmed PY - 2015/4/14/medline KW - education KW - evidence-based KW - information KW - management/systems/computerization KW - nursing KW - practice/guidelines KW - research-quantitative SP - 23 EP - 31 JF - Journal for healthcare quality : official publication of the National Association for Healthcare Quality JO - J Healthc Qual VL - 36 IS - 4 N2 - 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). SN - 1945-1474 UR - https://www.unboundmedicine.com/medline/citation/23534854/An_interprofessional_process_to_improve_early_identification_and_treatment_for_sepsis_ L2 - https://doi.org/10.1111/jhq.12006 DB - PRIME DP - Unbound Medicine ER -