survive sepsis improvement collaborative · survive sepsis improvement collaborative kelly bohot...
TRANSCRIPT
Survive Sepsis improvement Collaborative
Kelly Bohot @kellybohot08, [email protected] 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
0
50
100
150
200
250
300
350
400
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.