A successful campaign to increase use of the sepsis order set in the emergency department

A successful campaign to increase use of the sepsis order set in the emergency department

Standardizing and improving sepsis treatment has become a priority of hospital leaders nationwide [7]. Per a patient-level logistic regression model estimating the odds of sepsis order set use within the cohort with confirmed sepsis, the odds ratio per month since study start is 1.31, (95% CI [1.17,...

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Bibliographic Details
Published in:The American journal of emergency medicine Vol. 72; pp. 216 - 218
Main Authors: Berlyand, Yosef, Black, Lauren, Lee, Andy Hung-Yi, Aaronson, Emily L., Copenhaver, Martin S., Filbin, Michael R., Mort, Elizabeth A., Dutta, Sayon, Rhee, Chanu, Hibbert, Kathryn A., Turno, Douglas-Jarrett Cole, Durocher, Kara E., Aristizabal, Maria E., Sonis, Jonathan D.
Format: Journal Article
Language:English
Published: Philadelphia Elsevier Inc 01-10-2023
Elsevier Limited
Subjects:
Antibiotic resistance
Antibiotics
Blood culture
Computed tomography
Conflicts of interest
Drug resistance
Editing
EKG
Emergency medical care
Health care
Intravenous administration
Microbiology
Mortality
Norepinephrine
Patients
Pelvis
Phenylephrine
Sepsis
Urinalysis
Urinary tract
Vasopressin
Writing
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Summary:Standardizing and improving sepsis treatment has become a priority of hospital leaders nationwide [7]. Per a patient-level logistic regression model estimating the odds of sepsis order set use within the cohort with confirmed sepsis, the odds ratio per month since study start is 1.31, (95% CI [1.17,1.47], p < 0.01). Jonathan D. Sonis: Writing – review & editing, Writing – original draft, Validation, Supervision, Project administration, Methodology, Investigation, Formal analysis, Data curation, Conceptualization.Declaration of Competing Interest All authors report no conflict of interest. Category Subcategory Options Specific Options Monitoring Cardiac Monitoring Pulse Oximetry Intake and Output Electrocardiogram 12 lead Vital Signs Labs Sepsis Lab Panel Microbiology Cultures Blood Culture x 2 Urine Culture Urinalysis with Reflex Urine Culture Respiratory Culture/Smear Imaging Chest X-Ray Portable Bedside Ultrasound Computed Tomography Abdomen/Pelvis Intravenous Fluids Peripheral intravenous flush/keep vein open panel Maintain 2 large bore intravenous access Lactated Ringer's solution (LR) 30 mL/kg bolus: 2500 mL for patient weight 75.1–83.3 kg Normal Saline (NS) 30 mL/kg bolus: 2500 mL for patient weight 75.1–83.3 kg LR second bolus NS second bolus Sepsis Vasopressors Norepinephrine infusion Epinephrine infusion Vasopressin infusion Phenylephrine infusion Dobutamine infusion Antibiotics Unknown Source Low Risk for Antibiotic Resistance/Community Acquired High Risk for Antibiotic Resistance/Healthcare Acquired Lung Source Low Risk for Antibiotic Resistance/Community Acquired High Risk for Antibiotic Resistance/Healthcare Acquired Gastrointestinal Source Low Risk for Antibiotic Resistance/Community Acquired High Risk for Antibiotic Resistance/Healthcare Acquired Urinary Tract Source Low Risk for Antibiotic Resistance/Community Acquired High Risk for Antibiotic Resistance/Healthcare Acquired Table 1 Sepsis Order Set as designed in 2017.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2023.07.052