Sepsis is costly for hospitals and dangerous to patients. What are hospitals doing in an effort to stop sepsis before it starts?
During a recent peer-to-peer learning event, iVantage hospitals shared that 14 of 15 hospitals screen patients vulnerable to sepsis. Many of these had a screening tool built into their EMR; some screen on each shift. See "Preventing Sepsis 2017" for the details, including shared sepsis screening tools!
Here are 5 things hospitals are doing in addition to sepsis screens:
- Utilizing specialized order sets/protocols. At one hospital, if lactate on initial specimen is elevated a best practice alert fires for fluids, repeat lactate and the antibiotic order set. Another hospital pays strong attention to prevention of infection with CLABSI, CAUTI and VAE prevention bundles.
- Paying close clinical attention: monitoring daily labs; promptly reporting fevers, changes in vitals, etc.
- Forming an interdisciplinary sepsis committee/sepsis workgroups; using a sepsis coordinator; identifying a physician champion.
- Practicing good infection control: diligent hand washing; audits for hand hygiene; aseptic Foley insertion and line insertions.
- Educating nurses, physicians, and extended care facilities on sepsis prevention.
Are these strategies working? 4 hospitals agreed that early detection and better care for patients vulnerable to sepsis has resulted in reduced mortality rates.
Learn more from peers about sepsis prevention and management -- see what our Sepsis Knowledge Community has been doing. Contact us if you'd like to join in!
How is sepsis impacting your hospital? See the iVantage Performance Manager Clinical Benchmark to find out.