Measuring sustainable practice change of the sepsis guideline in one emergency department: A retrospective health care record audit.

Romero, B; Fry, M; Roche, M

Measuring sustainable practice change of the sepsis guideline in one emergency department: A retrospective health care record audit.

Romero, B Fry, M

Roche, M

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: International Emergency Nursing, 2022, 60, pp. 1-5
Issue Date:: 2022-01-01

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Field	Value	Language
dc.contributor.author	Romero, B
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096
dc.contributor.author	Roche, M https://orcid.org/0000-0002-3831-537X
dc.date.accessioned	2022-10-10T04:02:16Z
dc.date.available	2021-10-22
dc.date.available	2022-10-10T04:02:16Z
dc.date.issued	2022-01-01
dc.identifier.citation	International Emergency Nursing, 2022, 60, pp. 1-5
dc.identifier.issn	1755-599X
dc.identifier.issn	1878-013X
dc.identifier.uri	http://hdl.handle.net/10453/162431
dc.description.abstract	AIMS AND OBJECTIVES: To explore the longitudinal impact of the New South Wales Sepsis guideline on time to antibiotics, triage assessment and emergency management before and four years after guideline implementation. BACKGROUND: Globally, sepsis continues to be a significant cause of mortality and morbidity within hospitals. To reduce avoidable adverse patient outcomes the corner stone has been to improve the early recognition and management of sepsis. The New South Wales government in Australia introduced sepsis guidelines into Emergency Departments. However, the longitudinal impact of the sepsis guideline, has never been conducted. METHODS: A 12-month retrospective randomised health care record audit of adult patients with a sepsis diagnosis was conducted 12-months before and four years after implementation of the sepsis guideline. RESULTS: This study demonstrated sustained improvement in allocation of urgent triage categories in the follow-up group (n = 43; 53.1%) and a reduction in the median time to antibiotics from 189 min to 102 min (p ≤ 0.001) after the implementation of the sepsis guideline. CONCLUSION: The study has demonstrated the sepsis guideline has improved a sustained change in early assessment, recognition and management of patients presenting with sepsis in one tertiary referral Emergency Department.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	International Emergency Nursing
dc.relation.isbasedon	10.1016/j.ienj.2021.101108
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.subject.mesh	Adult
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Emergency Service, Hospital
dc.subject.mesh	Guideline Adherence
dc.subject.mesh	Humans
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Sepsis
dc.subject.mesh	Triage
dc.subject.mesh	Humans
dc.subject.mesh	Sepsis
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Adult
dc.subject.mesh	Emergency Service, Hospital
dc.subject.mesh	Triage
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Guideline Adherence
dc.title	Measuring sustainable practice change of the sepsis guideline in one emergency department: A retrospective health care record audit.
dc.type	Journal Article
utslib.citation.volume	60
utslib.location.activity	England
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-10-10T04:02:15Z
pubs.publication-status	Published
pubs.volume	60

Abstract:

AIMS AND OBJECTIVES: To explore the longitudinal impact of the New South Wales Sepsis guideline on time to antibiotics, triage assessment and emergency management before and four years after guideline implementation. BACKGROUND: Globally, sepsis continues to be a significant cause of mortality and morbidity within hospitals. To reduce avoidable adverse patient outcomes the corner stone has been to improve the early recognition and management of sepsis. The New South Wales government in Australia introduced sepsis guidelines into Emergency Departments. However, the longitudinal impact of the sepsis guideline, has never been conducted. METHODS: A 12-month retrospective randomised health care record audit of adult patients with a sepsis diagnosis was conducted 12-months before and four years after implementation of the sepsis guideline. RESULTS: This study demonstrated sustained improvement in allocation of urgent triage categories in the follow-up group (n = 43; 53.1%) and a reduction in the median time to antibiotics from 189 min to 102 min (p ≤ 0.001) after the implementation of the sepsis guideline. CONCLUSION: The study has demonstrated the sepsis guideline has improved a sustained change in early assessment, recognition and management of patients presenting with sepsis in one tertiary referral Emergency Department.

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http://hdl.handle.net/10453/162431