2.50
Hdl Handle:
http://hdl.handle.net/10755/623659
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Sepsis Checklist Decreases Sepsis Mortality
Author(s):
Crimmins-Bonnell, Donna; Greenberg, April; McAdams, Ashlee
Lead Author STTI Affiliation:
Non-member
Author Details:
Donna Crimmins-Bonnell, MHSM, BSN, CPHQ; April Greenberg, RN, CEN; Ashlee McAdams, BSN, CEN
Abstract:

Poster presentation

Session A presented Thursday, September 14, 2017

Purpose: Lean Six Sigma Yellow Belt Project chartered to increase the use of our Sepsis Checklist as we were at 0% compliance and our Mortality OE was 1.35.

AIM: Primary: to increase initiation of Sepsis checklist, by 50% in ED for Sepsis positive patients by Dec 7, 2015; Secondary: to decrease Sepsis O/E (observed to expected) Mortality to an O/E below 1 by March 2016.

Design: Staff Development and Performance Improvment Project.

Setting: Acute Care 168 bed Hospital ED.

Participants/Subjects: ED staff, ED manager, charge nurse and ED Dir.,  Clinical Outcomes Team Lead and Director of Quality.

Methods: Lean 6 Sigma tools were used and PDSA. Discovery: Gemba, Fish Bone, Swim lanes…Plan/Do to educate, streamline process, decrease variation in locations  Study: revised checklist for flow per nurses input; 2nd cycle revised for phy need; changed color of checklist for ease in handoff.  ACT: variation in practice decreased…checklist part of ED culture.

Results/Outcomes: Primary and Secondary Goals were met and exceeded.  As of today we continue to sustain the gains.  Checklist use increased by 78%, O/E Mortality decreased to 0.73 YTD by Sept 2016.

Implications: >90% of Septic patients come in through the ED doors.  Early recognition and treatment of sepsis is the key to patient survival.  Use of the checklist allowed the staff to stay on task in a rapid manner which impacted the survival of our sepsis patients. Lessons Learned: Staff need to be educated in a consistent manner using an alogrithim to decrease variation in and potential for bias with trainers; staff signing the education tool enforces accountability;  on boarding of new staff to process is essential; annual competency and monthly monitoring of the process decreases drift; Patient stories and lves saved help to sustain the momentum and change the culture.

Keywords:
Sepsis Mortality; Performance Improvement; Emergency Department
Repository Posting Date:
4-Dec-2017
Date of Publication:
4-Dec-2017
Conference Date:
2017
Conference Name:
Emergency Nursing 2017
Conference Host:
Emergency Nurses Association
Conference Location:
St. Louis, Missouri, USA
Description:
ENA 2017: Education, Networking, Advocacy. Held at America's Center Convention Center, St. Louis, Missouri

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleSepsis Checklist Decreases Sepsis Mortalityen_US
dc.contributor.authorCrimmins-Bonnell, Donnaen
dc.contributor.authorGreenberg, Aprilen
dc.contributor.authorMcAdams, Ashleeen
dc.contributor.departmentNon-memberen
dc.author.detailsDonna Crimmins-Bonnell, MHSM, BSN, CPHQ; April Greenberg, RN, CEN; Ashlee McAdams, BSN, CENen
dc.identifier.urihttp://hdl.handle.net/10755/623659-
dc.description.abstract<p>Poster presentation</p> <p>Session A presented Thursday, September 14, 2017</p> <p>Purpose: Lean Six Sigma Yellow Belt Project chartered to increase the use of our Sepsis Checklist as we were at 0% compliance and our Mortality OE was 1.35.</p> <p>AIM: Primary: to increase initiation of Sepsis checklist, by 50% in ED for Sepsis positive patients by Dec 7, 2015; Secondary: to decrease Sepsis O/E (observed to expected) Mortality to an O/E below 1 by March 2016.</p> <p>Design: Staff Development and Performance Improvment Project.</p> <p>Setting: Acute Care 168 bed Hospital ED.</p> <p>Participants/Subjects: ED staff, ED manager, charge nurse and ED Dir.,&nbsp; Clinical Outcomes Team Lead and Director of Quality.</p> <p>Methods: Lean 6 Sigma tools were used and PDSA. Discovery: Gemba, Fish Bone, Swim lanes&hellip;Plan/Do to educate, streamline process, decrease variation in locations&nbsp; Study: revised checklist for flow per nurses input; 2nd cycle revised for phy need; changed color of checklist for ease in handoff.&nbsp; ACT: variation in practice decreased&hellip;checklist part of ED culture.</p> <p>Results/Outcomes: Primary and Secondary Goals were met and exceeded.&nbsp; As of today we continue to sustain the gains.&nbsp; Checklist use increased by 78%, O/E Mortality decreased to 0.73 YTD by Sept 2016.</p> <p>Implications: &gt;90% of Septic patients come in through the ED doors.&nbsp; Early recognition and treatment of sepsis is the key to patient survival.&nbsp; Use of the checklist allowed the staff to stay on task in a rapid manner which impacted the survival of our sepsis patients. Lessons Learned: Staff need to be educated in a consistent manner using an alogrithim to decrease variation in and potential for bias with trainers; staff signing the education tool enforces accountability;&nbsp; on boarding of new staff to process is essential; annual competency and monthly monitoring of the process decreases drift; Patient stories and lves saved help to sustain the momentum and change the culture.</p>en
dc.subjectSepsis Mortalityen
dc.subjectPerformance Improvementen
dc.subjectEmergency Departmenten
dc.date.available2017-12-04T20:26:45Z-
dc.date.issued2017-12-04-
dc.date.accessioned2017-12-04T20:26:45Z-
dc.conference.date2017en
dc.conference.nameEmergency Nursing 2017en
dc.conference.hostEmergency Nurses Associationen
dc.conference.locationSt. Louis, Missouri, USAen
dc.descriptionENA 2017: Education, Networking, Advocacy. Held at America's Center Convention Center, St. Louis, Missourien
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