THINK SEPSIS Lessons from the Confidential Enquiries

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Presentation transcript:

THINK SEPSIS Lessons from the Confidential Enquiries 2009-12

Classification

Characteristics of Women who Died

Characteristics of women who survived septic shock

Comparison between women who died and women who survived

Themes

Theme: Delay in Diagnosis

Theme: Delay in Diagnosis

Theme: Incomplete Assessment

Theme: Incomplete Assessment

Themes Postnatal Delay in Diagnosis & Incomplete Assessment

Theme: Immediate treatment

Theme: Immediate treatment

Antibiotics

Lactate

Fluid Resuscitation

Theme: Assessment & Monitoring

Theme: Assessment and Monitoring

Theme: Care setting

Theme: Communication

Theme: Communication

Theme: Communication

Theme: Governance

Summary