ED Tracking Sheet Implementation

Dartmouth Health

Status: Completed

Conditions: Systemic Inflammatory Response Syndrome; Severe Sepsis; Sepsis

Treatments: Procedure: ED Sepsis Tracking Sheet

Study type: Interventional

Funder types: Other

Identifiers

NCT05213923

STUDY02001224

Details and patient eligibility

About

The purpose of this study is to assess whether implementation of an ED Sepsis Tracking Sheet effects the percentage of goal-directed sepsis criteria met in a tertiary care academic Emergency Department.

Full description

Sepsis remains a common cause of morbidity and mortality in the hospital setting. Accurate diagnosis and timely initiation of therapy are important drivers of patient-centered outcomes in sepsis management. Compliance with the core measures listed in the surviving sepsis campaign guidelines has been variable.

An ED-specific Sepsis Tracking Sheet (STS) - a tool for implementing and documenting critical actions in sepsis management - was created at our institution by a team of physicians, nurses, and ED pharmacists. Dedicated ED pharmacists were instructed to fill this sheet within one hour of the sepsis-specific best practice advisory (BPA) being activated in the ED. Core measures associated with the one hour and three hour sepsis bundles were tracked and outcomes were compared pre- and post-implementation of the STS.

Enrollment: 194 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Over 18 years old
• Initially evaluated in the DHMC Lebanon Emergency Department
• Activated sepsis BPA upon initial presentation (triage history consistent with infection combined with 2 or more SIRS criteria? Are these the criteria that trigger our sepsis BPA?)

Exclusion criteria

• Patients who are transferred to the DHMC Lebanon Emergency Department from another facility
• Patients with absent data regarding one or more of the goal-directed sepsis criteria
• Patients who did not initially meet criteria to trigger the sepsis BPA, but developed sepsis later in their hospital course

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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194 participants in 2 patient groups

Pre-intervention

No Intervention group

Description:

Patients presenting to the Emergency Department meeting severe sepsis criteria prior to implementation of an ED Sepsis Tracking Sheet

Post-intervention

Experimental group

Description:

Patients presenting to the Emergency Department meeting severe sepsis criteria following implementation of an ED Sepsis Tracking Sheet

Treatment:

Procedure: ED Sepsis Tracking Sheet