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We also struggle with this issue. We have built a very simple database to keep track of meeting the elements of the bundles and use of the order sets by ordering physician at the point of care. Our goal is to give individual / group data feedback as education alone has not seemed to drastically increase our compliance to bundles or use of order sets. We are in the process of entering and tweaking the database to meet our needs. It is very time intensive, but we are hoping it will yield positive outcomes as demonstrated by other initiatives using the same method.
Jen
Jennifer Thoe, RN, MSN
Stroke and Sepsis Care Coordinator Mercy Medical Center-North Iowa 1000 4th Street SW Mason City, IA 50401 Phone: (641) 428-7109 Fax: (641) 428-6383 This message originates from Mercy Medical Center - North Iowa. It may contain privileged information for the individual(s) or entity named above. It is prohibited for anyone else to disclose, copy, distribute or use the contents of this message. If you received this message in error, please delete the message and notify me immediately.
Hello, I'm a black belt that's starting a sepsis initiative at our facility. Currently we do have a the sepsis bundle in place according to the best practice guidelines but the order sets are not being utilized by our physicians. My team is made of mostly physicians with a PharmD, and nurses. I'm looking for some insight on how some facilities got physicians to utilize the order sets and got them to buy-in to using the order set. There is recognition of the problem, but seems there's an overwhelming majority that don't use the order sets. Preliminary numbers are showing that around 13% of our discharged sepsis patients were treated with the order set and that only means they used a portion of the order set, not the entire thing. Our mortality has dropped from 33% to 21%, but there's still room for major improvement after the order sets have been in place. I'd appreciate anyone's feedback. Thanks, Ryan Luginbuhl RT(R), BS Six Sigma Black Belt | Process Improvement OSF Saint Francis Medical Center 613 NE Jefferson Street | Peoria, IL | 61603 p 309.624.2245 | c 309.678.4993 | f 309.624.2236
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