Dissertation
Translating the evidence of the use of the sepsis screening tool to improve sepsis identification and reduce sepsis mortality
Doctor of Nursing Practice (D.N.P.), Drexel University
2015
DOI:
https://doi.org/10.17918/etd-6731
Abstract
Background: Sepsis is a life threatening syndrome that occurs rapidly when the body's response to blood infection injures its own tissues and organs. Sepsis is the most costly disease in the U.S. and the number one killer of patients admitted to acute care hospitals. On October 1, 2015, the Centers for Medicare and Medicaid Services (CMS) will start chart abstraction initiatives for Severe Sepsis and Septic Shock for the FY 2017 Payment Determination. In reviewing 2013 and 2014 data from the Community Hospital System (CHS), the majority of patients diagnosed with sepsis were not screened for sepsis in either the ED or the in-patient units, meaning that CHS as a whole has $20,000,000 at stake. for the CMS Value Based-Purchasing payment program. The main goal of this paper is to attempt to improve sepsis outcomes by closing the gap between compliance to the published sepsis treatment guidelines and daily clinical practice through the implementation of a Sepsis Screening tool. Methods: The planned course of work for this project is to use an existing data set that will be requested from the Executive Sponsor for all the Community Hospital System's Quality Collaborative (Sr. VP and CNO) of the system. This data will include the number of sepsis cases and the risk-adjusted mortality index in 2014, as well as current year to date data. Evaluation: Pre and post participation outcomes are to be compared using the T-test analysis. The outcome measures are the number of sepsis patients identified and the number of sepsis deaths within the 19 community hospitals participating in the Quality Collaborative. Significance and Implications: If the hypothesis is correct, the data will not only reveal an opportunity for growth but also lend a better understanding of how to increase sepsis identification and lower sepsis mortality for our community hospitals nationwide.
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Details
- Title
- Translating the evidence of the use of the sepsis screening tool to improve sepsis identification and reduce sepsis mortality
- Creators
- Nicolas Abella - DU
- Contributors
- Al Rundio (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 6731; 991014632935804721