Leadership Commitment, Accountability, and Multi-Professional Involvement - References | Michigan Hospital Medicine Safety Consortium

References

Advancing Quality Alliance. Improving the treatment of sepsis and reducing variation(link is external). NHS Health Education England 2018.

Improved treatment of sepsis and reduced variation through identifying resources, leadership engagement, use of data, PDCA, adopting best practice and use of digital technology

This publication shows that a dedicated sepsis coordinator can help identify needs for new workflow processes to improve sepsis care across the continuum. Additionally, it shows that a multidisciplinary team approach improves sepsis bundle compliance and that improving postacute transition of care reduces sepsis readmissions.

Damiani, E. et al. Effect of Performance Improvement Programs on Compliance with Sepsis Bundles and Mortality: A Systematic Review and Meta-Analysis of Observational Studies(link is external). PLOS One 2015.

Performance improvement programs are associated with increased adherence to resuscitation and management sepsis bundles and with reduced mortality in patients with sepsis, severe sepsis, or septic shock

Dantes, R. et al. Sepsis Program Activities in Acute Care Hospitals – National Healthcare Safety Network, United States, 2022(link is external). CDC MMWR 2023.

Findings from the 2022 NHSN annual survey evaluating the prevalence and characteristics of sepsis programs in acute care hospitals highlighted opportunities to improve the care and outcomes of patients with sepsis in the United States. It is suggested this can be done by ensuring that all hospitals have sepsis programs with protected time for program leaders, engagement of medical specialists, and integration with antimicrobial stewardship programs.

Goddard, C. Advancing Quality Alliance – Improving Care for Patients with Sepsis(link is external) in an Acute Trust. NHSAdvancing Quality Programme 2021.

Demonstrated improve care and outcomes through leadership engagement, pathway redesign, use of data and communication.

Hughes, M. et al. A Quality Improvement Project to Improve Sepsis-Related Outcomes at an Integrated Healthcare System(link is external). Journ for Healthcare Qual 2019.

A retrospective analysis examined data(n = 4,475) from three health systems to better determine the impact of a 10-month sepsis quality improvement program that consisted of clinical alerts, audit and feedback, and staff education. Compared with the control group, the intervention group significantly decreased length of stay and costs per stay. The intervention group increased sepsis bundle compliance by more than 40%. A sepsis quality improvement program may improve sepsis health outcomes and decrease costs.

Naya, K. et al. Implementation of a nurse-led multidisciplinary huddle meeting for improvement of early rehabilitation in ICU: a healthcare quality improvement project(link is external). BMJ Open Quality 2023.

According to this protocol, a nurse-led‘multidisciplinary rehabilitation huddle meeting’ was introduced for early rehabilitation. Rehabilitation status, muscle strength and physical function were compared 9 months before and after the introduction of the huddle meeting. In addition, we assessed adverse events during rehabilitation. Since the introduction of huddle meetings, the implementation rate has been 100%. This quality improvement project facilitated an earlier start to rehabilitation and a higher level of rehabilitation practice.

Thursky, K. et al. Implementation of a whole of hospital sepsis clinical pathway in a cancer hospital: impact on sepsis management, outcomes and costs(link is external)BMJ Open Quality 2018.

Implementation of a hospital clinical pathway for the management of sepsis was associated with significant improvement in patient outcomes and reduced costs.