NHS England: The Atlas of Shared Learning | September 2018 | Reducing sepsis at James Paget University Hospital
Nurses at James Paget University Hospital undertook a Trust audit which revealed that over two-thirds (68 per cent) of A&E patients and more than half (58 per cent) of inpatients were receiving the right, personalised treatment for sepsis within an hour of resuscitation, as recommended by NICE and Sepsis UK. However, there was scope for improvements to the care pathway, to adhere more closely to these recommendations.
In addition to the audit, the team also mapped processes and protocols to identify opportunities for development and any barriers preventing the Trust from achieving the highest standard. From this they found there was a need to recognise sepsis earlier in the care pathway and to initiate treatment as quickly as possible thereafter. The aim was to create a sepsis awareness culture and to streamline the sepsis pathway. In this way, staff would more readily identify sepsis and be clearer about how to respond (Source: NHS England) .
Measures to support the campaign included:
- Setting up a sepsis group across wards at the Trust, to encourage partnership working and to approve ideas from front line staff (such as a sticker for A&E notes as a reminder to check for sepsis);
- Supporting the Clinical Care Outreach Team and Hospital at Night Practitioners to administer antibiotics, to reduce the risk of delays;
- Developing a sepsis pack with a step-by step guide, placed in designated sepsis drawers and bags;
- Redesigning the observation chart to include a “sepsis recognition box”;
- Distributing prompt cards which fit inside staff ID card holders;
- Adapting the associated paperwork to ensure that staff can complete in less than 30 seconds;
- Running short sepsis awareness sessions to accommodate shift patterns;
- Encouraging sepsis huddles following ward rounds to ensure every patient has been assessed in line with sepsis recommendations.
Read the case study in full at NHS England