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- W3048146263 abstract "Background: Cincinnati Children’s Hospital Medical Center formed a sepsis collaborative steering committee with the goal to improve the outcomes of patients at risk for severe sepsis and septic shock. The leadership group developed a best practice care algorithm for recognition and early intervention of septic shock that included care bundles focusing on early identification, rapid fluid bolus, and early administration of antibiotics. Objectives: Gastroenterology (GI) and Transplant Surgery (TS) units were chosen as pilot areas for algorithm implementation. The GI and TS unit’s strategic goal for the fiscal year was to increase the use of the sepsis care algorithm for patients with concern for sepsis from 50% to 80% Methods: Unit champions were identified and tasked with implementation of the sepsis algorithm using the IHI model for improvement QI methodology. Identified key drivers included engaged team members, knowledge of algorithm, and availability of supplies. Interventions included case reviews, didactic and hands-on education, development of a population specific order set, visual reminders of the signs of sepsis, and creation of a Pyxis supply virtual kit (Fig. 1). Results: During the study period, an increase in algorithm use was observed within the GI and TS unit’s aggregate group. Year to date algorithm use increased from 50% to 67%. Most recent quarter compliance was 86% (Fig. 2). Conclusion: Overall improvement of algorithm use was observed in the study time. Highly engaged team members and presence of strong nurse and provider unit champions to help identify, advocate, and educate on use of the algorithm on the units were essential to success of improvement of use.Figure 1.: Key driver diagram.Figure 2.: Run chart." @default.
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- W3048146263 date "2020-07-01" @default.
- W3048146263 modified "2023-09-26" @default.
- W3048146263 title "Strategies for Implementation of Care Bundles on a General Care Unit" @default.
- W3048146263 doi "https://doi.org/10.1097/pq9.0000000000000324" @default.
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