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Description
Background: The SEP 1 bundle is evidence based best practice guidelines for the management of patients with severe sepsis and septic shock. Compliance with SEP 1 bundled care is monitored by CMS and publicly reported. When all required SEP 1 bundle elements are delivered within timing specifications of 3- and 6-hours, patient outcomes demonstrate lower mortality, fewer complications, and a reduction in length of stay.
Problem statement: At Henry Ford Health (HFH), compliance with the SEP-1 bundle measure was variable, lagging system goals and national benchmarks. In May 2019, the EPIC Sepsis Narrator with a built-in checklist of the SEP 1 bundle elements was introduced as a system wide nursing documentation tool. The goal of the tool was to help guide the delivery of care when a code sepsis was initiated. Two years after implementation it was noted that there was variability in documentation tools used during a code sepsis and overall poor compliance of the Sepsis narrator among HFH hospitals.
Improvement Goal Statement: Enhance the sepsis narrator to create a standardized, 100% electronic Code Sepsis documentation tool that assists the team with meeting goals of patient care and promotes compliance of CMS SEP 1 Bundle care elements within 6 months. Improve HFHS ED Utilization of the tool by 10% within 12 months of implementation. Improve HFHS IPD Utilization of the tool by 5% within 12 months of implementation.
Publication Date
3-12-2024
Publisher
Henry Ford Health
City
Detroit, Michigan
Keywords
Quality Expo, posters, poster competition, poster competition winner, Quality Expo Winners
Recommended Citation
Schlacht, Suzanne; Bailey, Heatha; Blaskie, Darinda L.; Miranda, Ronnel G.; Larocque, Tanya; Valerio, Cynthia; Kokochak, Jean; and Jayaprakash, Namita, "Project #46: Enhancing the Sepsis Narrator Tool to Improve Patient Care and Outcomes" (2024). Quality Expo 2024. 2.
https://scholarlycommons.henryford.com/qualityexpo2024/2
Comments
2024 Quality Expo Winner