Improving multidisciplinary severe sepsis management using the Sepsis Six
| Autor: | Gagandeep Raulia, Maryam Asghar, Amit Keiran John Mandal, Amar Bhat |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
National Health Programs Audit law.invention Sepsis Clinical 03 medical and health sciences 0302 clinical medicine law Multidisciplinary approach medicine Humans Prospective Studies 030212 general & internal medicine Lactic Acid Disease management (health) Severe sepsis Medical Audit business.industry Disease Management 030208 emergency & critical care medicine General Medicine Length of Stay medicine.disease Intensive care unit Systemic Inflammatory Response Syndrome Systemic inflammatory response syndrome England Sepsis Six Emergency medicine Practice Guidelines as Topic business |
| Zdroj: | Clinical medicine (London, England). 16(6) |
| ISSN: | 1473-4893 |
| Popis: | Each year in the UK, it is estimated that more than 100,000 people are admitted to hospital with sepsis and around 37,000 people will die as a result of the condition. We present an audit, re-audit and the implications these have had on the management of severe sepsis using the Sepsis Six, ultimately through actively promoting teamwork to initiate the protocol. This led to a significant improvement in management, decreasing admissions to the intensive care unit (ITU), length of stay in hospital and the number of patient deaths.The initial audit and re-audit were done over 2-month periods. All clerking notes of patients with a medical consultant diagnosis of 'sepsis' on post-take ward round were analysed and further screened for presence of severe sepsis according to national guidelines.There was significant improvement from only 1% of patients being appropriately managed (according to the existing guidelines) to 67% of eligible subjects adhering to the protocol (p |
| Databáze: | OpenAIRE |
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