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Research and commentary

Tackling sepsis using an identification pathway

Bradshaw C, Goodman I, Rosenberg R et al (2016) Implementation of an inpatient pediatric sepsis identification pathway. Pediatrics. doi: 10.1542/peds.2014-4082
Sepsis

Bradshaw C, Goodman I, Rosenberg R et al (2016) Implementation of an inpatient pediatric sepsis identification pathway. Pediatrics. doi: 10.1542/peds.2014-4082

Background

The risk of death from sepsis is reduced if it is identified early and treated promptly. Treatment can be delayed through a failure to recognise the signs and symptoms of sepsis.

Methods

This was a quality improvement intervention to improve recognition of sepsis in a paediatric unit in the United States. Interventions included a sepsis identification pathway, vital sign screening and subsequent evaluations by doctors. Implementation included distribution of the pathway to all clinical staff, ongoing education and an e-learning programme, incorporation of a severe sepsis medication order in the hospital electronic medical record (EMR), and a standardised communication pathway. Plan, do, study, act (PDSA) cycles were completed during implementation. Compliance was monitored by statistical process control

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