Improving Sepsis Compliance With Human Factors Interventions in a Community Hospital Emergency Room.
Background: Adherence to best practices for sepsis management at a small community hospital was below system, state, and national benchmarks and affected vital indicators, including mortality. This study aimed to improve sepsis best practice compliance by implementing human factors-influenced interv...
| Publicado en: | Patient Safety (2689-0143) Vol. 5; no. 1; pp. 1 - 14 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
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Pennsylvania Patient Safety Authority
Mar2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163350418&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163350418 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26890143 N1OO jtl: Patient Safety (2689-0143) issn: 26890143 maglogo: N pubinfo: dt: Mar2023 vid: 5 iid: 1 pid: 50366 pub: Pennsylvania Patient Safety Authority place: Harrisburg, Pennsylvania artinfo: ui: 163350418 163350418 163350418 10.33940/culture/2023.3.3 163350418 ppf: 1 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Improving Sepsis Compliance With Human Factors Interventions in a Community Hospital Emergency Room. aug: au: Kiser, Megan affil: Allegheny Health Network Grove City sug: subj: Quality Improvement Medical Practice Organizational Compliance Sepsis Therapy Hospitals, Community Emergency Service Human Hospital Mortality Patient Care Methods United States Centers for Medicare and Medicaid Services Standards Triage Physicians Workflow Early Diagnosis Health Screening Professional Knowledge Nursing Staff, Hospital Work Engagement Sepsis Mortality Pennsylvania Electronic Health Records Multidisciplinary Care Team Interviews Record Review Emergency Nurses Education Cues Feedback Memory Software Retrospective Design ab: Background: Adherence to best practices for sepsis management at a small community hospital was below system, state, and national benchmarks and affected vital indicators, including mortality. This study aimed to improve sepsis best practice compliance by implementing human factors-influenced interventions. Methods: The Plan-Do-Study-Act quality improvement methodology was used for this project. Baseline metrics included sepsis bundle compliance following CMS (Centers for Medicare & Medicaid Services) core measure standards, hospital mortality, sepsis triage screening, and physician order set use. Interventions: Several human factors workflows and tools were used to boost early identification with screening opportunities and enhance staff awareness of sepsis indicators. Results: With the interventions, the hospital's compliance with sepsis best practice treatment improved by a 23 percentage-point increase from baseline. Sepsis triage screening also increased and remained consistent after project interventions. Conclusions: With the project, using human factors tools enhanced staff engagement and increased sepsis awareness. Engagement increased sepsis identification and screening in a small community hospital setting. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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