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Improving Sepsis Bundle Implementation Times: A Nursing Process Improvement Approach
1Nursing Administration, Coliseum Medical Centers, Macon, Georgia.
Background:
Early recognition of sepsis in the emergency room (ER) has been shown to improve treatment intervention times and decrease mortality.
Local Problem:
Failure to recognize early signs and symptoms of sepsis in the ER has led to poor sepsis bundle completion times.
Methods:
A comparison of preintervention and postintervention data was performed to determine whether sepsis bundle implementation times, mortality, and length of stay (LOS) improved.
Interventions:
An ER Nurse Sepsis Identification Tool, leadership buy-in from key stakeholders, and systemic inflammatory response syndrome (SIRS) education were implemented.
Results:
Postintervention, average bundle compliance time decreased 458 minutes (P < .001), average antibiotic administration time decreased 101 minutes (P < .001), overall sepsis mortality decreased 5.9% (P = .074), and there was no change to LOS.
Conclusions:
The implementation of an ER early sepsis identification tool, leadership buy-in, and SIRS education can lead to improved bundle implementation times in the ER.
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