Abstract

Severe sepsis and septic shock result in approximately 250,000 deaths nationwide. Evidence shows that implementing Centers of Medicare & Medicaid Services Severe Sepsis/Septic Shock Early Management Bundle (CMS-Sep-1) improves outcomes in this patient population. Only 69% of patients presenting to our emergency department (ED) received all the elements of the CMS-Sep-1 bundle; this average was below our goal of 75%. Data analyzed by our Quality department revealed that staff adherence to implementing some elements of the bundle was suboptimal. The purpose of this performance improvement (PI) project was to increase adherence to the CMS-Sep-1 bundle by implementing standard work and improving communication among ED staff.

Author Details

Delfa S. Seto, MSN, RN, CEN; Lauren Bazzell, BSN, RN; Alicia M. Kim, ADN, RN, CEN; Marisol Fernandez-Lagunas, BSN, RN; Sadeeka Al-Majid, PhD, RN

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Sepsis, Emergency Departments, Patient Care, Care Adherence

Conference Name

Emergency Nursing 2019

Conference Host

Emergency Nurses Association

Conference Location

Austin, Texas, USA

Conference Year

2019

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Poster

Additional Files

Abstract.pdf (105 kB)

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Electronic bundle worklist increases adherence with CMS Sep-1 Measures in the emergency department

Austin, Texas, USA

Severe sepsis and septic shock result in approximately 250,000 deaths nationwide. Evidence shows that implementing Centers of Medicare & Medicaid Services Severe Sepsis/Septic Shock Early Management Bundle (CMS-Sep-1) improves outcomes in this patient population. Only 69% of patients presenting to our emergency department (ED) received all the elements of the CMS-Sep-1 bundle; this average was below our goal of 75%. Data analyzed by our Quality department revealed that staff adherence to implementing some elements of the bundle was suboptimal. The purpose of this performance improvement (PI) project was to increase adherence to the CMS-Sep-1 bundle by implementing standard work and improving communication among ED staff.