Sepsis Bundle Campaign Reduce the Risk of Mortality for in Septic Patients

PICOT Paper: sepsis bundle campaign reduce the risk of mortality for in septic patients
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PICOT question
In the emergency department, does the initiation of the sepsis bundle campaign reduce the risk of mortality for in septic patients?
Introduction
Severe sepsis affects the mortality rate of patients in the emergency departments since infections can quickly spread if there is no early identification and management of the condition (Shin et al., 2013). As such, effective care sepsis bundle campaign ought to be undertaken to improve health outcomes. According to shin et al (2013), the resuscitation bundle may include antibiotics, early blood cultures early goal directed therapy and serum lactate measurement. Emergency department crowding is one of the factors that impacts negatively on compliance with sepsis bundle campaign, and it is associated with decreased quality of life because of delay in vital care. This shows that the sepsis bundle campaign intervention is appropriate to manage sepsis. The mortality rates associated with severe sepsis can be as high as 30% within one month of infection and 50% in 6 months (Garber, 2010).
Search strategy for evidence
The evidence to support the need for intervention through sepsis bundle campaign focuses on the pathophiology of sepsis, with evidence based guidelines crucial to reducing the length of hospital stay and mortality rate reductions. There is concern that challenges resulting from inadequate administration of antibiotics, late diagnosis of sepsis and septic shock as well as inadequate volume resuscitation, inadequate cardiac output as well as failure in treating adrenal inadequacy and hyperglycemia may inhibit proper management of sepsis.
While implementing the sepsis care bundles, the early goal-directed therapy (EGDT) has been identified as being necessary to the success improved outcomes. Even though, the care bundles have been singled out as the standard of care the developed countries, the same cannot be said in many developing countries (Na et al, 2012). Despite benefits of implementing the bundles, there are challenges because of uncertainty, with lack of knowledge on the bundles, behavior and attitude influencing health care practices. Hence, education is one of the elements to be integrated in the implementation plan to ensure compliance with guidelines. Even with adherence to compliance reducing time delays for the bundle elements are taken into account
Importance of PICOT to organization
Then incidences related to sepsis have increased over time, while more patients are being admitted in the emergency department. In any case, proper management at the ED before admission to the ICU can make a difference on the mortality relates of the population (Wira et al., 20140. As such, the need to rely on the bundle highlights on the strategies to improve health outcomes through evidence based practice. The interventions also reduce the cost to hospitals and the patents, reducing the financial burden to patients at high risk of septic shock as well as the hospital. However, even with evidence on the efficacy of the interventions, quality improvements efforts for the health practitioners are likely to result to better bundle compliance.
To evaluate the benefits of sepsis bundles, then compliance with the sepsis campaign guidelines is necessary (Baelan et al., 2011). Hence, the resources set aside for managing sepsis and septic shock can indicate whether there will be compliance with the guidelines. Correct use of the sepsis bundle campaign is also associated with better outcomes because of improved compliance, while early recognition of sepsis helps in initiating elements of the sepsis bundle campaign, meaning that there are there fewer requirements for the maintenance bundle.
The objective of sepsis campaign care bundles are to shorten the time when patients get the initial antibiotics dose. Increase administration of fluids, improve the rate of lactate determination and improve the gylcemic control. After achieving these objectives then implementation of the campaign then allows the nurses to assess the improvements made after the interventions. Patients are typically are different stages of sepsis and some may have failing organs, as such evidence on the effectiveness of sepsis care bundle campaign is crucial to the implementing the intervention plan and disseminating information to all the stakeholders.
Stakeholder collaboration
In adopting sepsis management measures, there is a need to assess compliance trough a review of performance, taking into account recorded changes after implementation of the intervention. Sharing information regularly with the stakeholders facilitates collaboration, with health practitioners providing vital information to improve management practices. Physicians, nurses, and burses managed collaborate to improve communication between the intensive care unit and the emergency department. At the same time, providing feedback to the executive leadership, senior medical staff as well as ancillary staff is recommende...