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Sepsis 协调员在改善整个连续护理中脓毒症捆绑包依从性和护理方面的作用和举措。

The Role and Initiatives Led by the Sepsis Coordinator to Improve Sepsis Bundle Compliance and Care Across the Continuum.

机构信息

Penn Medicine Lancaster General Hospital, 555 North Duke Street, Lancaster, PA 17602, USA.

Penn Medicine Lancaster General Hospital, 555 North Duke Street, Lancaster, PA 17602, USA.

出版信息

Crit Care Nurs Clin North Am. 2023 Dec;35(4):413-424. doi: 10.1016/j.cnc.2023.05.006. Epub 2023 Jun 17.

DOI:10.1016/j.cnc.2023.05.006
PMID:37838416
Abstract

A dedicated sepsis coordinator role at Penn Medicine Lancaster General Hospital led initiatives to improve sepsis core measure compliance by 40% during the course of 4 years with submission of all sepsis cases. Chart abstraction and analysis of noncompliant cases identified areas for improvement: early recognition education, order set revisions, documentation support, and the implementation of a nurse-driven 24/7 sepsis monitoring process. The cooperative work with Penn Medicine affiliates, sharing best practices, improves overall sepsis bundle compliance and transitions of care. Ongoing achievements acknowledge the value of building relationships and leading improvements through the collaborative efforts of interprofessional teams.

摘要

在宾夕法尼亚医学兰开斯特综合医院,有一位专门的脓毒症协调员,他在 4 年内通过提交所有脓毒症病例,领导了提高脓毒症核心措施依从性的计划,使依从性提高了 40%。对不符合要求的病例进行图表提取和分析,确定了需要改进的领域:早期识别教育、医嘱集修订、文档支持,以及实施护士主导的 24/7 脓毒症监测流程。与宾夕法尼亚医学附属医院的合作,分享最佳实践,提高了整体脓毒症套餐的依从性和护理的交接。持续取得的成就承认了通过跨专业团队的协作努力建立关系和引领改进的价值。

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