14.00
Hdl Handle:
http://hdl.handle.net/10755/316951
Category:
Full-text
Type:
DNP Capstone Project
Level of Evidence:
Clinical Practice Guideline(s)
Research Approach:
Quantitative Research
Title:
A Screening Tool for Early Recognition and Treatment of Sepsis
Author(s):
Moss, Diane M.
Additional Author Information:
Diane Moss, DNP, MS, FNP-BC
Advisors:
Greenberg, Mary Elizabeth; Lilly, Mary Luanne
Degree:
DNP
Degree Year:
2014
Grantor:
Northern Arizona University
Abstract:

Purpose: This study investigates the use of a sepsis screening tool to decrease the length of time from triage to treatment.

Design: In this exploratory study, a convenience sample was drawn from all patients triaged in a critical access hospital emergency department in a six-month period from April 1 through September 30, 2012 and April 1 through September 30, 2013 with a total number of patients of 10,143 for both years. Each patient who was triaged in 2013 was screened for sepsis using the sepsis screening tool and then suspected and positive screens were compared to patients in 2012 that had complaints consistent with potential sepsis.

Methods: Data was analyzed using descriptive statistics and Welch t-tests, chart reviews and the sepsis screening tool.

Findings: The use of the sepsis screening tool in triage reduced the time from triage to treatment from 29.2 minutes in 2012 to 15.5 minutes in 2013. Time from triage to treatment is significant because the overall length of time to treatment impacts the morbidity and mortality of septic patients.

Conclusions: The use of a sepsis screening tool in triage by the registered nurse positively affects the time to treatment by reducing the overall length of time to treatment of those patients with suspected sepsis.

Clinical Relevance: This study increases the knowledge base, empowers, and advances the evidence based practice of registered nurses in the emergency department. It suggests that interventions can be used to reduce the time to treatment for patients with suspected sepsis and thus improve the outcome of those patients.

Keywords:
Sepsis; Screening Tool; Triage; Emergency Department; Nursing
MeSH:
Sepsis--diagnosis; Emergency Services, Hospital; Triage--methods
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2014-05-14T12:51:08Z
Date of Publication:
2014-05-14

Full metadata record

DC FieldValue Language
dc.contributor.advisorGreenberg, Mary Elizabeth-
dc.contributor.advisorLilly, Mary Luanne-
dc.contributor.authorMoss, Diane M.-
dc.date.accessioned2014-05-14T12:51:08Z-
dc.date.available2014-05-14T12:51:08Z-
dc.date.issued2014-05-14-
dc.identifier.urihttp://hdl.handle.net/10755/316951-
dc.description.abstract<p><strong>Purpose:</strong> This study investigates the use of a sepsis screening tool to decrease the length of time from triage to treatment.</p> <p><strong>Design:</strong> In this exploratory study, a convenience sample was drawn from all patients triaged in a critical access hospital emergency department in a six-month period from April 1 through September 30, 2012 and April 1 through September 30, 2013 with a total number of patients of 10,143 for both years. Each patient who was triaged in 2013 was screened for sepsis using the sepsis screening tool and then suspected and positive screens were compared to patients in 2012 that had complaints consistent with potential sepsis.</p> <p><strong>Methods: </strong>Data was analyzed using descriptive statistics and Welch t-tests, chart reviews and the sepsis screening tool.</p> <p><strong>Findings: </strong>The use of the sepsis screening tool in triage reduced the time from triage to treatment from 29.2 minutes in 2012 to 15.5 minutes in 2013. Time from triage to treatment is significant because the overall length of time to treatment impacts the morbidity and mortality of septic patients.</p> <p><strong>Conclusions:</strong> The use of a sepsis screening tool in triage by the registered nurse positively affects the time to treatment by reducing the overall length of time to treatment of those patients with suspected sepsis.</p> <p><strong>Clinical Relevance: </strong>This study increases the knowledge base, empowers, and advances the evidence based practice of registered nurses in the emergency department. It suggests that interventions can be used to reduce the time to treatment for patients with suspected sepsis and thus improve the outcome of those patients.</p>en_GB
dc.language.isoen_USen
dc.subjectSepsisen_GB
dc.subjectScreening Toolen_GB
dc.subjectTriageen_GB
dc.subjectEmergency Departmenten_GB
dc.subjectNursingen_GB
dc.subject.meshSepsis--diagnosisen
dc.subject.meshEmergency Services, Hospitalen_GB
dc.subject.meshTriage--methodsen_GB
dc.titleA Screening Tool for Early Recognition and Treatment of Sepsisen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorNorthern Arizona Universityen_GB
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsDiane Moss, DNP, MS, FNP-BCen_GB
thesis.degree.year2014en
dc.type.categoryFull-texten_GB
dc.evidence.levelClinical Practice Guideline(s)en
dc.research.approachQuantitative Researchen
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