Improving Antibiotic Administration Rate for Patients With Sepsis in the Emergency Department
| Autor: | Hideaki Sakuramoto, Yoshiaki Inoue, Nobutake Shimojo, Chie Hatozaki, Hisao Nakajima, Mayu Okamoto |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.drug_class Antibiotics Psychological intervention Early detection Emergency department medicine.disease Quality Improvement Anti-Bacterial Agents Sepsis Emergency medicine Risk of mortality Medicine Humans In patient business Emergency Service Hospital Administration (government) General Nursing Retrospective Studies |
| Zdroj: | Journal of nursing care quality. 36(4) |
| ISSN: | 1550-5065 |
| Popis: | Background Previous studies have demonstrated that delayed antibiotic administration increases the risk of mortality in patients with sepsis. Local problem In the emergency department, the antibiotic administration rate within 1 and 3 hours for patients with suspected sepsis was low. Methods/interventions We implemented an educational intervention with the nursing staff, which included training sessions and feedback, to ensure early detection and management of patients with suspected sepsis. Antibiotic administration rates were compared before and after education. Results A total of 503 patients were included. The antibiotic administration rate improved as the phases continued (1 hour: from 5.2% to 15.6%, P = .004; 3 hours: from 35.6% to 49.7%, P = .04; 6 hours: from 74.1% to 89.1%, P = .002). The time to initial antibiotic administration also improved from 229 to 185 minutes (P Conclusions Nurse-initiated quality improvement improved the early administration of antibiotics for patients with suspected sepsis. |
| Databáze: | OpenAIRE |
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