Improving Compliance with the Severe Sepsis Protocol: Putting Guidelines into Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/308593
Category:
Abstract
Type:
Presentation
Title:
Improving Compliance with the Severe Sepsis Protocol: Putting Guidelines into Practice
Author(s):
Hurst, Lisa Y.; Raines, Kim M.
Lead Author STTI Affiliation:
Non-member
Author Details:
Lisa Y. Hurst, BSN, lyhurst2004@hotmail.com; Kim M. Raines, BSN
Abstract:

Session presented on: Sunday, November 17, 2013

                                                                  Improving Compliance with the Severe Sepsis Protocol: Putting Guidelines into Practice

Lisa Hurst RN, BSN, CCRN; Kim Raines RN, BSN, CCRN; Emily Shears MPH, CIC

 

Introduction:

In 2011, a retrospective baseline analysis of severe sepsis patients was performed demonstrating use of the severe sepsis order set for only 18% of these patients.  These results served as a catalyst.  The subsequent performance improvement initiative was implemented to increase compliance at UPMC Hamot with the Surviving Sepsis Campaign (SSC) Guidelines.  A descriptive analysis was performed between August 2011 and January 2012 using 102 patients that met the severe sepsis criteria.

Methods: 

A multi-disciplinary severe sepsis team was formed which provided education as well as case review and data analysis. A screening tool for early identification was created and implemented to assist in capturing severely septic patients. 102 patients thus identified were evaluated for having each element of the resuscitation and management bundles.  Utilization of the existing UPMC Hamot Severe Sepsis order set was captured on all patients.  The resuscitation elements including time to blood cultures, antibiotics, and lactate were evaluated for being completed within the specified goal times.  These measures were also compared to the 2011 severe sepsis baseline study patients.

Results:   

Utilization of the severe sepsis order set for study patients increased from 18% in 2011 to 51% in 2012.   Timing of blood cultures, antibiotics and lactate were all shown to have statistically significant improvements (all measures P< 0.0001) when compared to 2011. Overall, the 2012 performance improvement project has demonstrated 63% compliance with all elements of the resuscitation bundle and 56% with the management bundle.

Discussion: 

While the use of the order set does not infer compliance with all of the elements of the bundles, it may have impacted on the number of components addressed in the care of these complex patients.

Keywords:
infection; compliance; 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.titleImproving Compliance with the Severe Sepsis Protocol: Putting Guidelines into Practiceen_GB
dc.contributor.authorHurst, Lisa Y.en_GB
dc.contributor.authorRaines, Kim M.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsLisa Y. Hurst, BSN, lyhurst2004@hotmail.com; Kim M. Raines, BSNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308593-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p><b>                                                                  Improving Compliance with the Severe Sepsis Protocol: Putting Guidelines into Practice</b><p align="center"><b>Lisa Hurst RN, BSN, CCRN; Kim Raines RN, BSN, CCRN; Emily Shears MPH, CIC</b><p><b> </b><p><b>Introduction:</b><p>In 2011, a retrospective baseline analysis of severe sepsis patients was performed demonstrating use of the severe sepsis order set for only 18% of these patients.  These results served as a catalyst.  The subsequent performance improvement initiative was implemented to increase compliance at UPMC Hamot with the Surviving Sepsis Campaign (SSC) Guidelines.  A descriptive analysis was performed between August 2011 and January 2012 using 102 patients that met the severe sepsis criteria. <p><b>Methods:  </b><p>A multi-disciplinary severe sepsis team was formed which provided education as well as case review and data analysis. A screening tool for early identification was created and implemented to assist in capturing severely septic patients. 102 patients thus identified were evaluated for having each element of the resuscitation and management bundles.  Utilization of the existing UPMC Hamot Severe Sepsis order set was captured on all patients.  The resuscitation elements including time to blood cultures, antibiotics, and lactate were evaluated for being completed within the specified goal times.  These measures were also compared to the 2011 severe sepsis baseline study patients.<b></b><p><b>Results:   </b><p>Utilization of the severe sepsis order set for study patients increased from 18% in 2011 to 51% in 2012.   Timing of blood cultures, antibiotics and lactate were all shown to have statistically significant improvements (all measures P< 0.0001) when compared to 2011. Overall, the 2012 performance improvement project has demonstrated 63% compliance with all elements of the resuscitation bundle and 56% with the management bundle. <p><b>Discussion:  </b><p>While the use of the order set does not infer compliance with all of the elements of the bundles, it may have impacted on the number of components addressed in the care of these complex patients. <b></b>en_GB
dc.subjectinfectionen_GB
dc.subjectcomplianceen_GB
dc.subjectsepsisen_GB
dc.date.available2013-12-19T17:33:21Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:33:21Z-
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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