1. Say yes to Sepsis! (Sepsis QIP in the ED) Dr Manab Mohanty Emergency Department Consultant 02/12/2015

2. Why Sepsis? 37000 deaths in UK per year 30-50% Mortality 188/460 deaths in HUH attributed to Infection (40%) RCEM National Sepsis Audit 2013-2014 *

4. The Change Process? The Policy!!

5. What was New? Sepsis Bay!

6. Implementation!! Training Cards to all new staff and paramedics Sepsis posters and screen savers in ED Sepsis nurse Monthly data collection Monthly updates via e-mail, AED newsletter and social media Monthly discussions, M&M and idea sharing in ED CQG Sepsis Champions

7. The Current State! The NHS Quest data Sepsis 6 within one hour RCEM Standards National Audit 2014 Jan Current data Nov 2014 –July 2015 High flow Oxygen100%50%71.87% Blood Cultures100%70%90.6% Broad Spectrum Antibiotics 50%55%81.9% Intravenous fluids 75%40%87.5% Serum Lactate measures 100%90%96.9% Urine output measured 100%20%57.5%

8. The Future! (& present) ACE! CQUIN! PGD to senior sisters in delivering Sepsis 6 RCEM and Sepsis Trust Exemplar Site requirements NCEPOD Sepsis Study recommendations Rolling out Sepsis QIP to the wards Resources ** Mortality reduction

9. Thank you!