2.50
Hdl Handle:
http://hdl.handle.net/10755/308415
Category:
Abstract
Type:
Presentation
Title:
Sepsis: Arresting a Killer
Author(s):
Weilbacher, Robyn
Lead Author STTI Affiliation:
N/A
Author Details:
Robyn Weilbacher, RN MSN CNML PCCN, robyn.weilbacher@mercy.net
Abstract:

Session presented on: Sunday, November 17, 2013

Abstract: The Sepsis Resuscitation Project at Mercy Hospital St. Louis began in August of 2011. We recognized the opportunity for vast improvement in outcomes for patients with sepsis. Rapid recognition and aggressive intervention in patients with sepsis dramatically improves outcomes. A pilot study done at 4 Mercy hospitals between 2010 and 2011 demonstrated that no hospital was better than 20% compliant with any sepsis bundle element and the average overall sepsis bundle compliance was 2.3%.
From Nursing Administration and Physician leaders to  bedisde RNs, Mercy took a sweeping global approach to decresing mortality and morbidity as well as decresing LOS in both ICU and hospital stay thereby decreasing cost. Our path:
• Create a multidisciplinary Committee
• Identify improvement opportunities
• Administrative and clinical commitment
• Hospital wide sepsis education: nurses, physicians, pharmacists
• Creation of EPIC Sepsis Pathway
• Creation of Sepsis Resuscitation Team in concert with rapid response Team
• Creation of “virtual sepsis unit"
• Integrate efforts with ED, OR, ICU, Intermediate care, floor services
• Sepsis Report Card to monitor and improve best practice compliance
• Weekly case review
• Coordinate efforts with Critical Care Nursing to ensure immediate ICU bed availability
• Rapid recognition and early intervention efforts
• Sepsis research and quality improvement
We have made substantial improvements in compliance with the sepsis resuscitation bundle. Our mortality in patients with severe sepsis and septic shock has dramatically improved. Compliance with individual sepsis bundle elements has improved. The average length of ICU stay for patients with severe sepsis and septic shock has dropped significantly.
The importance of the multidisciplinary, multiprofessional nature of this project cannot be over emphasized. Physician, nurse and pharmacy champions are needed to make the project successful. Weekly meetings focus activities and maintain momentum. At this point in time the Virtual Sepsis unit is just coming on line.
Keywords:
Septic shock; Severe sepsis
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleSepsis: Arresting a Killeren_GB
dc.contributor.authorWeilbacher, Robynen_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsRobyn Weilbacher, RN MSN CNML PCCN, robyn.weilbacher@mercy.neten_GB
dc.identifier.urihttp://hdl.handle.net/10755/308415-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p><i>Abstract:</i> The Sepsis Resuscitation Project at Mercy Hospital St. Louis began in August of 2011. We recognized the opportunity for vast improvement in outcomes for patients with sepsis.<sup> </sup>Rapid recognition and aggressive intervention in patients with sepsis dramatically improves outcomes. A pilot study done at 4 Mercy hospitals between 2010 and 2011 demonstrated that no hospital was better than 20% compliant with any sepsis bundle element and the average overall sepsis bundle compliance was 2.3%.<br /="/">From Nursing Administration and Physician leaders to  bedisde RNs, Mercy took a sweeping global approach to decresing mortality and morbidity as well as decresing LOS in both ICU and hospital stay thereby decreasing cost. Our path:<br /="/">• Create a multidisciplinary Committee<br /="/">• Identify improvement opportunities<br /="/">• Administrative and clinical commitment<br /="/">• Hospital wide sepsis education: nurses, physicians, pharmacists<br /="/">• Creation of EPIC Sepsis Pathway<br /="/">• Creation of Sepsis Resuscitation Team in concert with rapid response Team<br /="/">• Creation of “virtual sepsis unit"<br /="/">• Integrate efforts with ED, OR, ICU, Intermediate care, floor services<br /="/">• Sepsis Report Card to monitor and improve best practice compliance<br /="/">• Weekly case review<br /="/">• Coordinate efforts with Critical Care Nursing to ensure immediate ICU bed availability<br /="/">• Rapid recognition and early intervention efforts<br /="/">• Sepsis research and quality improvement<br /="/">We have made substantial improvements in compliance with the sepsis resuscitation bundle. Our mortality in patients with severe sepsis and septic shock has dramatically improved. Compliance with individual sepsis bundle elements has improved. The average length of ICU stay for patients with severe sepsis and septic shock has dropped significantly.<br /="/">The importance of the multidisciplinary, multiprofessional nature of this project cannot be over emphasized. Physician, nurse and pharmacy champions are needed to make the project successful. Weekly meetings focus activities and maintain momentum. At this point in time the Virtual Sepsis unit is just coming on line.en_GB
dc.subjectSeptic shocken_GB
dc.subjectSevere sepsisen_GB
dc.date.available2013-12-19T17:31:02Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:31:02Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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