Background, Rationale, and Suggested Implementation Strategies
HMS Bundle Measures in Data Reports
- Temporary CVC removal prior to transfer out of ICU
- Temporary CVC removal or documentation of need to keep prior to transfer out of ICU
- Urinary catheter removal prior to transfer out of ICU
- Urinary catheter removal or documentation of need to keep prior to transfer out of ICU
- Communication of volume status at ICU transfer
- Communication of antibiotic plan at ICU transfer
- Discontinuation or non-use of controlled substances at ICU transfer
- Delirium assessment at ICU transfer and in ward
Strategies to Achieve these 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.
- Develop structures and processes to support effective hospital hand-offs in patients with sepsis