Dear Imran,
I am impressed with the sepsis bundle compliance of more than 80% that you were
able to achieve within 3 years. I would be very eager to know how this was
achieved since it would be a useful to many of us who were not able to achieve
such a high compliance rate.
You have said in an earlier e-mail about involving team. But any thing else.
Our sepsis bundle compliance was very patchy without any coordination in the
past. Nor there was any formal audit or feedback. We started formal sepsis
bundle implementation a bit late, little more than a year ago in our hospital.
Now we have a team which overseas the implementation. This involves a hospital
lead for sepsis, a lead nurse for sepsis, educationists, representative from ER
and other departments. There are regular educational programme about sepsis
comprising mostly of formal lecture but also bed side teaching as and when the
opportunity arises.
For the last month or so, we started feedback to different teams about how they
have done and how it could be done differently next time. Very many thanks for
your feedback form that you have sent to the group which was excellent. Please
forgive me for using this form without your prior permission (with
modifications to suit us) and I assumed that it was ok with you since you
distributed to the group.
Many thanks to Dr R Daniels, UK who was kind enough to let us use sepsis 6 and
the pathway from his hospital, we have implemented sepsis 6 to start with. This
happened more than a year ago. We do have six hour bundle in the ICU for
sometime even before the formal sepsis bundle implementation as described
above.
May I ask you and others in this group, if anyone is using sepsis 6 as a
measure of sepsis bundle or using 3 hr & 6 hr bundle as recommended by
surviving sepsis campaign.
And also I would like to ask you, what is exactly meant by clinician driven
quality?
Many thanks in advance,
Mohan Ranganathan, MD, DA, FCARCSI, PGA
Consultant Anaesthetist & lead for sepsis
George Eliot Hospital NHS Trust
Nuneaton
UK
________________________________
From: Imran Aurangzeb <[email protected]>
To: sepsis list serve <[email protected]>
Sent: Sunday, 4 August 2013 12:38 AM
Subject: [Sepsis Groups] 80%+ bundle compliance
Intermountain Healthcare has achieved remarkable results with sepsis bundle
compliance (please click on link)
http://imran-aurangzeb.tumblr.com/image/57282638554
Brent James has done this by involving physicians to lead quality.
Has anyone implemented a model of clinician driven quality? Has anyone
experimented with gainsharing models?
Thank you.
Imran Aurangzeb, MD, FCCP
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