Implementing the sepsis bundle: overcoming barriers and sharing effective practices September 16, 2015.

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Presentation transcript:

Implementing the sepsis bundle: overcoming barriers and sharing effective practices September 16, 2015

OHA Statewide Sepsis Initiative Introduction Current statewide data (Q1, 2012 - Q1, 2015) Overview of Gap Analysis Panel Questions/Discussion Meaningful Action Planning Spotlight on a “Success Story”

* 995.92 and 785.52 only April 12, 2019

Revised Sepsis data * 995.92 and 785.52 only April 12, 2019

* 995.92 and 785.52 only April 12, 2019

Gap Survey Results September 2, 2015 55 Hospitals responded April 12, 2019

Early Gap analysis results April 12, 2019

Early Gap analysis results April 12, 2019

Early Gap analysis results April 12, 2019

Early Gap analysis results April 12, 2019

Panel questions/discussion Insert Presentation Title │ Insert Audience/Group April 12, 2019

In one sentence, tell us what you would describe as your main barrier to implementation of the three hour sepsis bundle? Insert Presentation Title │ Insert Audience/Group April 12, 2019

What have you found to be the most effective way to implement a screening tool in clinical areas other than the Emergency Department? Insert Presentation Title │ Insert Audience/Group April 12, 2019

For those hospitals that have implemented the completion of screening tools every shift, what issues and what benefits have you experienced? Insert Presentation Title │ Insert Audience/Group April 12, 2019

For those hospitals that have implemented alert mechanisms (ex For those hospitals that have implemented alert mechanisms (ex. early warning systems), what advice would you offer to those who have not yet done so but that are planning to do so? Insert Presentation Title │ Insert Audience/Group April 12, 2019

Which of the four elements of the three hour bundle do you find to be the most challenging to implement and why? Insert Presentation Title │ Insert Audience/Group April 12, 2019

Regarding fluid administration (as intended by the three hour bundle), how did you address deviation from the bundle guidelines? Insert Presentation Title │ Insert Audience/Group April 12, 2019

Meaningful action planning Example: AIM: To administer 30ml/kg crystalloid for identified hypotension or lactate ≥4 mmol/L within three hours of identification DRIVERS: Early recognition, effective communication among healthcare providers, education regarding the recommended rate of administration, availability of fluids, ability to obtain lactate level INTERVENTIONS: Educational programming, SBAR communication format, automated dispensing system, EMR prompts, etc. Insert Presentation Title │ Insert Audience/Group April 12, 2019

Spotlight on a “success story”

James Guliano, MSN, RN-BC Rosalie Weakland, MSN, RN, CPHQ, FACHE Vice President, Quality Programs Sr. Director, Quality Programs james.guliano@ohiohospitals.org rosalie.Weakland@ohiohospitals.org