1. MEASURE(S)/OUTCOME(S)
TITLE: Sepsis 3-Hour Bundle Implementation
DATE INITIATED:
F – IND a Process to Improve (Background Information, Data, Value Stream Map)
P – LAN the Improvement (Future State Process Map)
D – O the Improvement (Improvement Action Items Plan, Data Collection Plan, Forms)
Sepsis is the sixth most common principal diagnosis for hospitalization, accounting for 20% of all ICU admissions and 50% of all ICU deaths. It is the most costly admission diagnosis. Compliance with evidence based processes of care has been found to decrease mortality and costs.
Between , members of the High Value Healthcare Collaborative worked on improving sepsis care. Current work is focused on implementing the 3-hr bundle across all HVHC member delivery sites. #
CHANGE IDEA(S)
MEASURE(S)/OUTCOME(S)
O – RGANIZE a Team (List of Team & Ad-hoc Members and Roles)
Senior Executive Leader Project Manager
Clinical Champion Unit Implementation lead
C – LARIFY Current Knowledge (Current State Process Maps, Observations, Data, Specific Aim Statement)
Insert your unit’s current state for sepsis detection and resuscitation
SPECIFIC AIM STATEMENT: We will implement the 3-hour standard sepsis care bundle, improving our adherence to the bundle by _____ from our baseline performance _____ by March 30, 2017.
U – NDERSTAND Root Causes (Fishbone Diagram, 5 Whys, Affinity Diagram)
C – HECK the Results (Run Chart, Team’s End Results)
Standard 3 – hour Bundle: Draw lactate and blood cultures x 2, administer antibiotics, give 30cc/kg fluids
Identify root causes for your unit’s failure to complete all elements of the 3-hour bundle
S – ELECT the Improvement (Benchmarking/Best Practices – External and/or Internal)
A – CT and Determine Next Steps (Action Items, Lessons Learned, Sustainability Plan) #
ROOT CAUSE(S)
BEST PRACTICE(S)
CHANGE IDEA(S)