College of Nursing, University of Iowa, 50 Newton Road, Iowa City, IA 52242, USA.
Nurs Clin North Am. 2020 Mar;55(1):71-79. doi: 10.1016/j.cnur.2019.10.009. Epub 2019 Dec 16.
Sepsis is a deadly and costly condition, but effectively managing sepsis in the emergency department (ED) can help to improve patient outcomes. A key part of sepsis management is improving compliance with sepsis bundles, which can be challenging in the ED setting. Bedside nurses in the ED have a unique opportunity to facilitate early identification and treatment of patients with sepsis, which increases sepsis bundle compliance and improves patient outcomes. Interventions reviewed in this article can help to improve early identification and treatment, along with ways to standardize care, provide education, and implement feedback.
脓毒症是一种致命且代价高昂的病症,但在急诊科(ED)有效地管理脓毒症可以帮助改善患者的预后。脓毒症管理的一个关键部分是提高脓毒症包的依从性,而这在 ED 环境中具有挑战性。ED 的床边护士有独特的机会促进脓毒症患者的早期识别和治疗,这可以提高脓毒症包的依从性并改善患者的预后。本文回顾的干预措施可以帮助改善早期识别和治疗,以及标准化护理、提供教育和实施反馈的方法。