Background, Rationale, and Suggested Implementation Strategies
HMS Bundle Measures in Data Reports
- Use of norepinephrine as first-line vasopressor
- Use of adjunctive steroids in septic shock
- Use of balanced solutions(e.g., Lactated Ringers) over other fluids
- Antibiotics delivered in recommended sequence
- Initial antibiotic delivered within 1 hour of order
- Lung protective ventilation strategy used(if mechanically ventilated)
Strategies to Achieve Bundle Measures
- Sepsis team to review current performance with each component, identify gaps and understand root causes for gaps. Implement action items to mitigate root causes identified.
- Educate providers(attending, residents, APP, and nursing staff on why sepsis and evidenced based interventions-include key research studies supporting interventions. Develop ongoing education plan for each discipline
- Provide audit and feedback directly to teams regarding compliance with bundles