Regulatory bodies in the United States have implemented quality metrics aimed at improving outcomes for patients with severe sepsis and septic shock. The current study was a quality improvement (QI) project in a community-based academic center aimed at improving adherence to sepsis quality metrics, time to antibiotic administration, and patient outcomes. Electronic health record systems were utilized to capture sepsis-related data. Regular audits and feedback sessions were conducted to identify areas for improvement, with a focus on the timely administration of antibiotics. Interventions included improving access to antibiotics, transitioning from intravenous piggyback to intravenous push formulations, and providing continuous staff education and training. This multidisciplinary QI initiative led to significant improvements in the mortality index, length of stay index, and direct cost index for patients with sepsis. Targeted multidisciplinary QI interventions resulted in improved quality metrics and patient outcomes.
Keyphrases
- septic shock
- quality improvement
- electronic health record
- acute kidney injury
- intensive care unit
- physical activity
- healthcare
- high dose
- cardiovascular disease
- cancer therapy
- transcription factor
- clinical decision support
- drug delivery
- metabolic syndrome
- early onset
- insulin resistance
- big data
- glycemic control
- low dose
- adverse drug