Implementing a Sepsis Resuscitation Bundle Improved Clinical Outcome: A Before-and-After Study
BACKGROUND: Unlike other diseases, the management of sepsis has not been fully integrated in our daily practice. The aim of this study was to determine whether repeated training could improve compliance with a 6-h resuscitation bundle in patients with severe sepsis and septic shock. METHODS: Repeate...
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| Format: | Article |
| Language: | English |
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Korean Society of Critical Care Medicine
2014-11-01
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| Series: | Korean Journal of Critical Care Medicine |
| Subjects: | |
| Online Access: | http://www.kjccm.org/upload/pdf/kjccm-2014-29-4-250.pdf |
| _version_ | 1818081868722995200 |
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| author | Jeongmin Kim Sungwon Na Young Chul Yoo Shin Ok Koh |
| author_facet | Jeongmin Kim Sungwon Na Young Chul Yoo Shin Ok Koh |
| author_sort | Jeongmin Kim |
| collection | DOAJ |
| description | BACKGROUND: Unlike other diseases, the management of sepsis has not been fully integrated in our daily practice. The aim of this study was to determine whether repeated training could improve compliance with a 6-h resuscitation bundle in patients with severe sepsis and septic shock.
METHODS: Repeated education regarding a sepsis bundle was provided to the intensive care unit and emergency department residents, nurses, and faculties in a single university hospital. The educational program was led by a multidisciplinary team. A total of 175 adult patients with severe sepsis or septic shock were identified (88 before and 87 after the educational program). Hemodynamic resuscitation bundle and timely antibiotics administration were measured for all cases and mortality at 28 days after sepsis diagnosis was evaluated.
RESULTS: The compliance rate for the sepsis resuscitation bundle before the educational program was poor (0%), and repeated training improved it to 80% (p < 0.001). The 28-day mortality was significantly lower in the intervention group (16% vs. 32%, p = 0.040). Within the intervention group, patients for whom the resuscitation bundle was successfully completed had a significantly lower 28-day mortality than other patients (11% vs. 41%, p = 0.004).
CONCLUSIONS: Repeated education led by a multidisciplinary team and interdisciplinary communication improved the compliance rate of the 6-h resuscitation bundle in severe sepsis and septic shock patients. Compliance with the sepsis resuscitation bundle was associated with improved 28-day mortality in the study population. |
| first_indexed | 2024-12-10T19:13:03Z |
| format | Article |
| id | doaj.art-3d96e0970d0c488cb9113174d25931b7 |
| institution | Directory Open Access Journal |
| issn | 2383-4870 |
| language | English |
| last_indexed | 2024-12-10T19:13:03Z |
| publishDate | 2014-11-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Korean Journal of Critical Care Medicine |
| spelling | doaj.art-3d96e0970d0c488cb9113174d25931b72022-12-22T01:36:39ZengKorean Society of Critical Care MedicineKorean Journal of Critical Care Medicine2383-48702014-11-0129425025610.4266/kjccm.2014.29.4.250113Implementing a Sepsis Resuscitation Bundle Improved Clinical Outcome: A Before-and-After StudyJeongmin KimSungwon NaYoung Chul YooShin Ok KohBACKGROUND: Unlike other diseases, the management of sepsis has not been fully integrated in our daily practice. The aim of this study was to determine whether repeated training could improve compliance with a 6-h resuscitation bundle in patients with severe sepsis and septic shock. METHODS: Repeated education regarding a sepsis bundle was provided to the intensive care unit and emergency department residents, nurses, and faculties in a single university hospital. The educational program was led by a multidisciplinary team. A total of 175 adult patients with severe sepsis or septic shock were identified (88 before and 87 after the educational program). Hemodynamic resuscitation bundle and timely antibiotics administration were measured for all cases and mortality at 28 days after sepsis diagnosis was evaluated. RESULTS: The compliance rate for the sepsis resuscitation bundle before the educational program was poor (0%), and repeated training improved it to 80% (p < 0.001). The 28-day mortality was significantly lower in the intervention group (16% vs. 32%, p = 0.040). Within the intervention group, patients for whom the resuscitation bundle was successfully completed had a significantly lower 28-day mortality than other patients (11% vs. 41%, p = 0.004). CONCLUSIONS: Repeated education led by a multidisciplinary team and interdisciplinary communication improved the compliance rate of the 6-h resuscitation bundle in severe sepsis and septic shock patients. Compliance with the sepsis resuscitation bundle was associated with improved 28-day mortality in the study population.http://www.kjccm.org/upload/pdf/kjccm-2014-29-4-250.pdfcritical pathwayseducationinterdisciplinary communicationsepsis |
| spellingShingle | Jeongmin Kim Sungwon Na Young Chul Yoo Shin Ok Koh Implementing a Sepsis Resuscitation Bundle Improved Clinical Outcome: A Before-and-After Study Korean Journal of Critical Care Medicine critical pathways education interdisciplinary communication sepsis |
| title | Implementing a Sepsis Resuscitation Bundle Improved Clinical Outcome: A Before-and-After Study |
| title_full | Implementing a Sepsis Resuscitation Bundle Improved Clinical Outcome: A Before-and-After Study |
| title_fullStr | Implementing a Sepsis Resuscitation Bundle Improved Clinical Outcome: A Before-and-After Study |
| title_full_unstemmed | Implementing a Sepsis Resuscitation Bundle Improved Clinical Outcome: A Before-and-After Study |
| title_short | Implementing a Sepsis Resuscitation Bundle Improved Clinical Outcome: A Before-and-After Study |
| title_sort | implementing a sepsis resuscitation bundle improved clinical outcome a before and after study |
| topic | critical pathways education interdisciplinary communication sepsis |
| url | http://www.kjccm.org/upload/pdf/kjccm-2014-29-4-250.pdf |
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