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

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

3. * and only
April 12, 2019

4. Revised Sepsis data
* and only
April 12, 2019

5. * and only
April 12, 2019

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

7. Early Gap analysis results
April 12, 2019

8. Early Gap analysis results
April 12, 2019

9. Early Gap analysis results
April 12, 2019

10. Early Gap analysis results
April 12, 2019

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

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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

19. Spotlight on a “success story”

20. James Guliano, MSN, RN-BC
Rosalie Weakland, MSN, RN, CPHQ, FACHE
Vice President, Quality Programs
Sr. Director, Quality Programs