000009698 001__ 9698
000009698 005__ 20240124114328.0
000009698 0247_ $$2DOI$$a10.6083/mp48sd42g
000009698 037__ $$aETD
000009698 245__ $$aEvaluation of the surviving Sepsis Campaign (SSC) 3- Hour Sepsis Bundle Standards in a Level Three Emergency Department
000009698 260__ $$bOregon Health and Science University
000009698 269__ $$a2022
000009698 336__ $$aFinal project
000009698 502__ $$bD.N.P.
000009698 520__ $$aSepsis is a complex syndrome leading to increased hospital mortality and readmissions in the United States. Additionally, this syndrome causes significant financial strain on both micro and macro healthcare systems. Because sepsis and septic shock are leading causes of death worldwide, the international Surviving Sepsis Campaign (SSC) was forged as a joint initiative between the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM) with a commitment to reduce morbidity and mortality from sepsis worldwide (SCCM, n.d.). In order to address the complexity of this disease process, the SSC created the sepsis guidelines to standardize care for septic patients in the emergency department. Improved patient outcomes with adherence to these guidelines has led the Centers for Medicare and Medicaid Services (CMS) to adopt the SSC measures as their core reimbursement metrics. While sepsis bundle adherence has shown to improve patient outcomes and allows for CMC reimbursement, many emergency departments (ED) fail to reach compliance. The aim of this quality improvement project was to evaluate the adherence to the SSC guidelines in a level III ED using the PDSA study model. If bundle compliance was not found to meet current benchmarks, it would be recommended future PDSA models be utilized to investigate and implement the use of a code sepsis (CS) or critical response team (CRT) to improve bundle adherence.
000009698 650__ $$aHospital Mortality$$029650
000009698 650__ $$aPatient Care Bundles $$040524
000009698 650__ $$aQuality Improvement$$039456
000009698 650__ $$aMorbidity$$022428
000009698 650__ $$aDelivery of Health Care$$017452
000009698 650__ $$aSepsis$$031109
000009698 6531_ $$aseptic shock
000009698 691__ $$aSchool of Nursing$$041370
000009698 7001_ $$aKerr, Kathryn$$uOregon Health and Science University$$041354
000009698 8564_ $$9ed2088da-b959-481f-9529-ed491b876fbd$$s271459$$uhttps://digitalcollections.ohsu.edu/record/9698/files/Kerr.Kathryn.2022.pdf
000009698 905__ $$a/rest/prod/mp/48/sd/42/mp48sd42g
000009698 909CO $$ooai:digitalcollections.ohsu.edu:9698$$pstudent-work
000009698 980__ $$aTheses and Dissertations