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CS418
Severe Sepsis Screening in the ICU
By: D. Bybee, L. Weigand, & V. Wellman; Blessing Hospital; Quincy, IL
For further information, please contact: dbybee@blessinghospital.com
Purpose: Hospitals are challenged to reduce mortality caused by sepsis by 10% by January of 2009. A multi-disciplinary team was developed to consider a process to identify and begin early treatment on patients suffering from sepsis.
Description: A nurse initiated process was developed to improve the identification and early treatment of severe sepsis. ICU began to screen all patients admitted against criteria for severe sepsis. Patients are also screened daily to evaluate for severe sepsis. A positive screening prompts the nurse to implement the severe sepsis monitoring order set. This order set begins early treatment as the attending physician is contacted for further orders. Treatment was bundled to assure all patients exhibiting signs of severe sepsis received the evidence-based treatment.
Evaluation and Outcomes: Retrospective chart review demonstrates early intervention in patients meeting the criteria for severe sepsis. Fluid resuscitation, antibiotics, and lactate levels drawn were evident in 44% of the patients identified as severe sepsis. 20% of the patients had all the bundled treatment. Early intervention impacted length of stay and mortality.
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