2.50
Hdl Handle:
http://hdl.handle.net/10755/182579
Category:
Abstract
Type:
Presentation
Title:
Impact of a Sepsis Bundle on Outcome in Severe Sepsis/Septic Shock Patients
Author(s):
Roderman, Nicki; Gehring, Hollie
Author Details:
Nicki Roderman, RN, MSN, CCRN, Medical Center of Plano, Plano, Texas, USA, email: Nicki.Roderman@hcahealthcare.com; Hollie Gehring, RN, BSN, CEN
Abstract:
Poster Presentation: Purpose: To ascertain the impact of a multidisciplinary approach to the implementation of an evidence-based sepsis bundle on morbidity and mortality in patients with severe sepsis/septic shock Methods: Improving quality and outcomes through excellence in care delivery was the objective. Critically ill patients with severe sepsis and septic shock require a collaborative effort and nurse-driven care to impact outcomes. The evidence in the literature shows that patients experience multi-system organ failure, co-morbidities, and 40-60% mortality associated with severe sepsis/septic shock. To improve outcomes, an evidence-based program targeting patients with severe sepsis/septic shock was implemented. After obtaining IRB approval, a retrospective analysis was performed to obtain baseline data on patients who were in the critical unit from January 1, 2006 through December 31, 2006. An order bundle was created through an interdisciplinary approach involving medical, nursing and pharmacy staff. After appropriate education, the bundle was implemented. All patients treated with the bundle from January 1, 2007 through December 31, 2007 were monitored. Data collected included demographics, APACHE-II scores, ICU and hospital length of stay, vasopressor days, ventilator days, and episodes of renal failure. Results: Patient demographics and APACHE-II scores were equal between the two groups. Patient mortality was reduced from 62.2% in 2006 to 22% in 2007. Additionally, there were fewer episodes of acute renal failure, days on the ventilator, and days on vasopressors. ICU and hospital lengths of stay were lower as well. Statistical analysis of the data will be conducted in February 2008. Conclusion: The implementation of a sepsis bundle through a collaborative effort can reduce morbidity and mortality in severe sepsis/septic shock. Cooperation between the Emergency Department and Critical Care Unit, ongoing education, and feedback were paramount to success of...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Angus, D., Linde-Swirble, W., Lidicker, J., Clermont, G., Carcillo, J., & Pinsky, M. (2001). Epidemiology of severe sepsis in the United States: Analysis of incidence, outcome, and associated costs of care. Critical Care Medicine, 29 (7), 1303-1310. Picard, K., O'Donoghue, S., Young-Kershaw, D., & Russell, K. (2006). Development and implementation of a multidisciplinary sepsis protocol. Critical Care Nurse, 26(3), 43-54. Rivers, E., Nguyen, B., Havstad, M.A., Ressler, J., Muzzin, A., Knoblich, B., et.al. (2001). Early goal directed therapy in the treatment of severe sepsis and septic shock. The New England Journal of Medicine, 345(19), 1368-1377. Shapiro, N., Howell, M., & talmor, D. (2005). A blueprint for a sepsis protocol. Academy of Emergency Medicine, 12(4), 352-359. Townsend, S., Dellinger, R.P., Levy, M., & Ramsay, G. (2005). Implementing the Surviving Sepsis Campaign. Society of Critical Care Medicine: Des Plaines, Illinois.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImpact of a Sepsis Bundle on Outcome in Severe Sepsis/Septic Shock Patientsen_GB
dc.contributor.authorRoderman, Nickien_US
dc.contributor.authorGehring, Hollieen_US
dc.author.detailsNicki Roderman, RN, MSN, CCRN, Medical Center of Plano, Plano, Texas, USA, email: Nicki.Roderman@hcahealthcare.com; Hollie Gehring, RN, BSN, CENen_US
dc.identifier.urihttp://hdl.handle.net/10755/182579-
dc.description.abstractPoster Presentation: Purpose: To ascertain the impact of a multidisciplinary approach to the implementation of an evidence-based sepsis bundle on morbidity and mortality in patients with severe sepsis/septic shock Methods: Improving quality and outcomes through excellence in care delivery was the objective. Critically ill patients with severe sepsis and septic shock require a collaborative effort and nurse-driven care to impact outcomes. The evidence in the literature shows that patients experience multi-system organ failure, co-morbidities, and 40-60% mortality associated with severe sepsis/septic shock. To improve outcomes, an evidence-based program targeting patients with severe sepsis/septic shock was implemented. After obtaining IRB approval, a retrospective analysis was performed to obtain baseline data on patients who were in the critical unit from January 1, 2006 through December 31, 2006. An order bundle was created through an interdisciplinary approach involving medical, nursing and pharmacy staff. After appropriate education, the bundle was implemented. All patients treated with the bundle from January 1, 2007 through December 31, 2007 were monitored. Data collected included demographics, APACHE-II scores, ICU and hospital length of stay, vasopressor days, ventilator days, and episodes of renal failure. Results: Patient demographics and APACHE-II scores were equal between the two groups. Patient mortality was reduced from 62.2% in 2006 to 22% in 2007. Additionally, there were fewer episodes of acute renal failure, days on the ventilator, and days on vasopressors. ICU and hospital lengths of stay were lower as well. Statistical analysis of the data will be conducted in February 2008. Conclusion: The implementation of a sepsis bundle through a collaborative effort can reduce morbidity and mortality in severe sepsis/septic shock. Cooperation between the Emergency Department and Critical Care Unit, ongoing education, and feedback were paramount to success of...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Angus, D., Linde-Swirble, W., Lidicker, J., Clermont, G., Carcillo, J., & Pinsky, M. (2001). Epidemiology of severe sepsis in the United States: Analysis of incidence, outcome, and associated costs of care. Critical Care Medicine, 29 (7), 1303-1310. Picard, K., O'Donoghue, S., Young-Kershaw, D., & Russell, K. (2006). Development and implementation of a multidisciplinary sepsis protocol. Critical Care Nurse, 26(3), 43-54. Rivers, E., Nguyen, B., Havstad, M.A., Ressler, J., Muzzin, A., Knoblich, B., et.al. (2001). Early goal directed therapy in the treatment of severe sepsis and septic shock. The New England Journal of Medicine, 345(19), 1368-1377. Shapiro, N., Howell, M., & talmor, D. (2005). A blueprint for a sepsis protocol. Academy of Emergency Medicine, 12(4), 352-359. Townsend, S., Dellinger, R.P., Levy, M., & Ramsay, G. (2005). Implementing the Surviving Sepsis Campaign. Society of Critical Care Medicine: Des Plaines, Illinois.en_GB
dc.date.available2011-10-28T15:30:31Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:30:31Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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