HCR Home Care, Rochester, New York.
J Nurs Care Qual. 2021;36(3):210-216. doi: 10.1097/NCQ.0000000000000525.
A majority of sepsis cases originate in the home and community. Home health clinicians play an important role in the early identification and timely treatment of sepsis.
A home health care provider sought to prevent hospital readmissions due to sepsis by implementing a sepsis-screening protocol and quality improvement initiative.
The provider conducted a retrospective chart review of 33 264 sepsis screens of 7242 patients.
A sepsis-screening protocol, clinician and patient/caregiver sepsis education, physician and emergency department communication, and emergency medical services collaboration procedure were implemented.
A majority (69.2%) of positive sepsis screens resulted in patients receiving early medical intervention and avoiding hospitalization.
Having a formal sepsis-screening program in place prompts home health clinicians to communicate the patient's symptoms to their primary care provider, which can positively impact hospital readmission rates and associated medical costs.
大多数脓毒症病例源自家庭和社区。家庭保健临床医生在脓毒症的早期识别和及时治疗方面发挥着重要作用。
一名家庭保健护理提供者希望通过实施脓毒症筛查方案和质量改进计划来预防因脓毒症导致的再次住院。
提供者对 7242 名患者的 33264 例脓毒症筛查进行了回顾性图表审查。
实施了脓毒症筛查方案、临床医生和患者/照护者脓毒症教育、医生和急诊部门之间的沟通以及紧急医疗服务协作程序。
大多数（69.2%）阳性脓毒症筛查结果导致患者接受早期医疗干预并避免住院。
制定正式的脓毒症筛查方案可促使家庭保健临床医生将患者的症状告知其初级保健医生，这可以积极影响医院的再入院率和相关医疗费用。
