As your team begins to test new tools and processes for recognizing and treating sepsis, a good measurement strategy will help you monitor and evaluate your progress.
Consider starting with some baseline measurement. How often are the signs of sepsis being recognized? Do they receive treatment that is recognized as best practice? Is there appropriate escalation of care when required? Knowing where you are starting from will make it easier to determine where and when you are seeing improvement after intervention. Collect data as close to real time as possible and display important variables in a run chart over time. Review data frequently with your team.
Continue collecting data throughout your interventions and changes. Data will help you know how close you are getting to your aim, to learn what is and is not working, to visualize the impact of your changes, and to share your progress with others. Track patient outcomes and consider gathering feedback from staff who are making changes to their workflow and practices.
Looking for patients that were ‘missed’ is an important part of your quality review, and will help you discover processes that need improvement. Consider conducting a time-limited chart audit to look for patients that had sepsis criteria that went unrecognized. Look for patients that deteriorated and required consult or transfer to an intensive care unit that may have benefited from earlier recognition. The toolbox includes a quality review tool to help you stay organized in investigating missed cases of sepsis.
|Sepsis Cases Data Collection Tool and Definition|
Missed Case/Incomplete Treatment Quality Review
|Inpatient Sepsis Improvement Staff Survey Tool|