TMF Health Quality Institute, Tampa, Florida, United States.
TMF Health Quality Institute, Austin, Texas, United States.
Nurs Older People. 2021 Jun 1;33(3):36-41. doi: 10.7748/nop.2021.e1308. Epub 2021 Feb 10.
Sepsis, if not identified and treated early, can be fatal, particularly in older people. A lack of knowledge and understanding of sepsis among nursing staff can result in a missed or delayed diagnosis, leading to delayed treatment and potentially to patient death. A quality improvement project was conducted in nine hospitals and 200 nursing homes in the Lower and Upper Rio Grande Valley regions of Texas, in the US, to improve the identification and treatment of sepsis by nursing staff. Interventions included educational webinars for hospital staff and train-the-trainer sessions for nurse leaders in nursing homes. All participating hospitals had implemented a sepsis screening tool and sepsis care bundles by the end of the project, and an overall decline in sepsis mortality rates was seen in these hospitals. Among participating nurse leaders in nursing homes, a dramatic improvement in sepsis knowledge was seen. The outcomes of the project support the use of comprehensive nursing staff education on sepsis identification and treatment. Sepsis education needs to be ongoing to maintain optimal levels of knowledge among nursing staff.
脓毒症，如果不能及早识别和治疗，可能是致命的，特别是在老年人中。护理人员对脓毒症的认识和理解不足，可能导致漏诊或延迟诊断，从而导致治疗延迟，甚至可能导致患者死亡。在美国德克萨斯州下里奥格兰德河谷和上里奥格兰德河谷的 9 家医院和 200 家养老院进行了一项质量改进项目，以提高护理人员对脓毒症的识别和治疗能力。干预措施包括为医院工作人员举办教育网络研讨会，以及为养老院的护士领导人举办培训师培训课程。所有参与的医院在项目结束时都实施了脓毒症筛查工具和脓毒症护理包，这些医院的脓毒症死亡率总体下降。在参与的养老院护士领导人中，脓毒症知识有了显著提高。该项目的结果支持对护理人员进行脓毒症识别和治疗的综合教育。需要持续开展脓毒症教育，以保持护理人员的最佳知识水平。
