Скачать с ютуб Improvement in early detection and prompt treatment of Sepsis across Weston Area Health NHS Trust в хорошем качестве

Improvement in early detection and prompt treatment of Sepsis across Weston Area Health NHS Trust

Sepsis is a leading cause of death in the United Kingdom (UK) with a reported 44,000 cases every year (NICE, 2017). Sepsis causes more deaths every year than breast, prostate and bowel cancer combined (UK Sepsis Trust, 2016). Forty percent of cases relating to sepsis are severe and 50% of cases are related to septic shock (NICE, 2014). Sepsis is the biggest cause of maternal death in the UK (World Health Organisation, 2016) and costs the National Health Service (NHS) over an estimated £2.5 billion per year (Health Care Ombudsman, 2014). Successful management of sepsis requires prompt recognition, appropriate interventions to identify and control the micro-organisms and restore oxygen delivery to tissues, and appropriate escalation and decisive medical management within the first hour of red flag sepsis. The Lead Nurse for Deteriorating Patient and Sepsis at Weston Area Health Trust identified unwarranted variation in the rates of early detection and prompt treatment of sepsis at Weston Area Health Area Trust and addressed this through awareness raising campaigns, training and introduction of best practice sepsis alert practices. This has significantly improved patient outcomes and safety. There was a large increase in the use of the sepsis screening tool from 17% in September 2017 to 96% across the Trust by January 2018. In the emergency department screening for sepsis is over 90% and administration of IV antibiotics within 1 hour is at 89%. Sepsis screening and treatment for inpatients has reached 100%. The sepsis related incidents reduced from 4 in October 2017 to an average of 0 or 1 by May 2018. Sepsis length of stay at Weston General Hospital reduced from an average of 8 days in October 2017 to 4 in May 2018, which is below the national average length of stay average of 12 days in May 2018. Staff experience has been positive with 100% of staff saying they would recommend the sepsis training to colleagues and they feel confident to use the training in practice. Visit http://www.england.nhs.uk/leadingchange/ to find out more about Leading Change, Adding Value and access a wealth of resources available to support nursing, midwifery and care staff in making the changes necessary to improve the outcomes and experiences for those they care for.