ED median time to 1st antibiotic administration for suspected sepsis patients (SIRS)

From the 2023 HVPA National Conference

Wala Al Muslem, Bachelor Nursing Degree (Johns Hopkins Aramco Healthcare), Muhammad Afzal, Emergency Medicine Consultant

Recognizing and responding to sepsis early can significantly improve patient outcomes. Sepsis is a medical emergency and occurs when the body has an extreme response to an infection. It can lead to organ failure and death if not treated promptly. The in-hospital mortality rate is estimated to be approximately 25 per cent globally.

Severe sepsis relies on timely identification for proper treatment and greater outcomes for patients. By appropriately screening patients on arrival in the emergency department.

This was organization initiative to improve sepsis mortality and prompt the treatment of sepsis cases presented to ED Through:

• Identification of suspected sepsis patients.
• ED Sepsis management protocols.
• Streamlined admission process for suspected sepsis patients.

Create Sepsis screening tool in EMS flow sheet in Epic to capture all possible sepsis cases.

Data showed increase Compliance of administration of antibiotics within 1 hour in 2019 (20.83%) compared to the same 2021 time period (57%) and reduce sepsis mortality rate from 40% (2018-2019) to 16% (2020&2021)

What are academic medical centers across the country doing to improve healthcare value?

Value improvement guides: Published reviews in JAMA Internal Medicine coauthored by experienced faculty from multiple leading medical centers, with safety outcomes data and an implementation blue print.

Review article detailing 25 labs to refine for high value quality improvement | July 2020

MAVEN campaign: Free 4 year high value care curriculum online.

Join the Alliance! Membership is free with institutional approval and commitment to improving value in your medical center.

Learn more about HVPA on Health Affairs Blog