Click and learn: a longitudinal interprofessional case-based sepsis education curriculum.

Autor:	Heslin SM; Emergency Medicine, Stony Brook University Renaissance School of Medicine, Stony Brook, New York, USA samita.heslin@stonybrookmedicine.edu., Qadeer A; Division of Pulmonary, Critical Care and Sleep Medicine, Stony Brook University Renaissance School of Medicine, Stony Brook, New York, USA., Kotarba AE; Quality Improvement Department, Stony Brook University Renaissance School of Medicine, Stony Brook, New York, USA., Ahmad S; Division of Pulmonary, Critical Care and Sleep Medicine, Stony Brook University Renaissance School of Medicine, Stony Brook, New York, USA., Morley EJ; Emergency Medicine, Stony Brook University Renaissance School of Medicine, Stony Brook, New York, USA.
Jazyk:	angličtina
Zdroj:	BMJ open quality [BMJ Open Qual] 2024 Nov 02; Vol. 13 (4). Date of Electronic Publication: 2024 Nov 02.
DOI:	10.1136/bmjoq-2024-002859
Abstrakt:	Background: Sepsis is a global healthcare challenge and a leading cause of morbidity and mortality. In the USA, the Centers for Medicare & Medicaid Services has integrated the Severe Sepsis and Septic Shock Management Bundle (SEP-1) into their Core Quality Measures, which has been linked to lower mortality rates. However, SEP-1's multiple bundle elements present compliance challenges without comprehensive education and a collaborative approach involving nurses and providers (attending physicians, resident physicians, nurse practitioners and physician assistants). Methods: We developed a virtual longitudinal, case-based curriculum using Kern's six-step approach to curriculum development and evaluated its effectiveness using the Kirkpatrick model. The curriculum was distributed hospital-wide over a 32-month period. Results: A total of 3616 responses were received for the Sepsis Case-Based Curriculum modules, with 47% from nurses and 53% from providers. Responses were distributed similarly among medical and surgical specialties, as well as intensive care units. Nurses' responses were 56% correct, and providers' responses were 51% correct. Most respondents expressed a likelihood of applying the learning to their practice and reported increased knowledge of sepsis. Themes from participant feedback indicated that they found the activity informative and applicable to real-world cases. Additionally, the hospital's SEP-1 bundle compliance improved from 71% (Q1 2021) to 80% (Q3 2023) during the study period. Conclusion: Meeting SEP-1 bundle elements requires a team-based approach involving providers and nurses. Given the busy hospital environment and diverse care providers, a longitudinal, engaging and concise educational curriculum related to real-life scenarios can enhance sepsis and SEP-1 education. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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