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Team Photo Slide

Team Photo Slide. How are we Surviving Sepsis?. TMH ICU Collaborative PDSA Model for Improvement. Plan Need for Change. Problem: Septic shock in surgical patients had high mortality Reason: Recognition came too late

christen-dixon
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Team Photo Slide

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  1. Team Photo Slide

  2. How are we Surviving Sepsis? TMH ICU Collaborative PDSA Model for Improvement

  3. PlanNeed for Change • Problem: Septic shock in surgical patients had high mortality • Reason: Recognition came too late • Goal: Decrease mortality by improving early recognition of sepsis in surgical patients • Measure: Incidence of septic shock and mortality related to septic shock in surgical patients

  4. Plan • Barriers • Education complexities: Large numbers/Multiple Disciplines • Modify: ED/Critical Care process for Med Surg areas • Empower: Nurses to obtain rapid treatment for their patients • Coverage: Limitations

  5. Plan • Multidisciplinary Team • ICU collaborative members • Hospital Administration support • CPPD • Nurse managers • Physicians • Quality department • Nurse champions • Lab personnel • Informatics • Identified champions for every area

  6. DO • Adapted education used for ED/Critical Care for pilot unit (surgical unit…. Dec./January) • Created a policy and algorithm adapted from ED • Provided unit based tools • Definitions • Algorithm with sepsis bundles • Sample SBAR to physicians for nurses • Badge cards

  7. Badge CardFront & Back

  8. StudyThe Results Data collected by NSQIP and shared with ICU Collaborative

  9. StudyLessons Learned • Education spread to all units, physician/LIP groups (Jan-April) • Shift to shift SBAR has sepsis screen included • Included sepsis in RRT activation criteria • Reinforced in education for RRT start up Tubes for lactate stocked on units • Order sets created • Links to SSC added to nursing & medical websites

  10. ACTNext Steps • Continue to reinforce education • Routinely one on one • Presentation and case studies • Include in orientation • Online education • Module for Brown Students • Consider yearly competencies for nursing • Continue to analyze NSQIP data and integrate into departmental QI, M&M, ICU collaborative • Concurrent chart review • Need better follow up on some Pts ( +sepsis screen but not severe sepsis or shock or not really septic) • Abg lab will go online soon • Pt family education?

  11. How are we Surviving Sepsis? Our surgical patients would have to say… “VERY WELL, THANK YOU!”

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