survive sepsis improvement collaborative · survive sepsis improvement collaborative kelly bohot...

Survive Sepsis improvement Collaborative

Kelly Bohot @kellybohot08, kelly.bohot@waitematadhb.govt.nzQuality improvement scientific symposium – Auckland – 2017

“sepsis is defined as life-threatening time critical organ dysfunction caused

by a dysregulated host response to infection”

377 per 100,000

223 per 100,000

331.8 per 100,000

208 per 100,000

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100

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Sepsis Stroke Cancer Heart

opportunity

aim

primary drivers

secondary drivers

Aim: improve identification and treatment of patients with suspected or confirmed sepsis to reduce inpatient sepsis mortality to less than 15% by World Sepsis Day 2017

project overviewSu

rviv

e Se

psi

s Im

pro

vem

ent

Co

llab

ora

tive

best practice guidelines

clinical education

improvement

measures

Resuscitate

Review and escalate

Recognise

best practice guidelines

-

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000

2017-Aug 2017-Sep 2017-Oct

# observations #trigger sepsis screen

proportion of patients with screen

clinical education Sepsis one was

awesome. Short and succinct and

ended with a good quiz

Love the quiz

cascade learning sessions

videos for handover

Kahoot quiz clinical e-decision support

2,000 visits to sepsis CeDSS site

288 staff played Kahoot

ward based improvement activities

building quality improvement capability

measures

learnings

innovation

next steps

• review adult inpatient suspected sepsis guidelines and complete maternity and paediatric guidelines

• complete project evaluation

• ongoing monitoring of sepsis measures via Qlik

referencesSinger M, Deutschman C, Seymour C et al (2016) The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA Feb 23; 315 (8): 801-810.

The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement. IHI Innovation Series white paper. Boston: Institute for Healthcare Improvement; 2003. (Available on www.IHI.org)

Langley GL, Moen R, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance (2nd edition). San Francisco: Jossey-Bass Publishers; 2009.