Evidence-based Clinical Care: Sepsis

Sepsis/Severe Sepsis/Septic Shock is a significant healthcare concern for the U.S. population because of its high prevalence, morbidity, mortality and medical costs. Mortality from sepsis increases 8% for every hour that antibiotic treatment is delayed. Sepsis is a leading cause of death in U.S. hospitals. This course provides a review of the Sepsis Clinical Pathway at Baptist Health South Florida. 

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Target Audience

Critical Care Physicians, Emergency Department Physicians, Hospitalists, Internal Medicine Physicians, Infectious Disease Physicians, General Surgeons, Oncologists and Obstetricians and Physician Assistants. 

Learning Objectives

  • Explain the evidence-based data supporting standardization efforts to ensure consistent delivery of care in sepsis patients.  
  • Identify and triage sepsis patients according to clinical pathways and consistently implement appropriate, timely treatment protocols. 
Additional information
Bibliography: 
  • Beardsley, J.R., Jones, C.M., Williamson, J., Chou, J., Currie-Coyoy, M., & Jackson, T. (2016). Pharmacist involvement in a multidisciplinary initiative to reduce sepsis-related mortality. American Journal of Health System Pharmacy. 73(3), 143-149. https://doi.org/10.2146/ajhp150186
  • Doerfler, M.E., D’Angelo, J., Jacobsen, D., Jarrett, M.P., Kabcenell, A.I., Masick, K.D.…Steir, L. (2015). Methods for reducing sepsis mortality in emergency departments and inpatient units. Joint Commission Journal on Quality & Patient Safety. 41(5), 205-211. https://doi.org/10.1016/S1553-7250(15)41027-X
  • Douglas, M., DeVita, M. A., Gilder, R., & Lauer, P. (2016). Bridging gaps in rapid response systems. Nursing Management, 47(12), 26-31. doi:10.1097/01.numa.0000508260.11605.47.
  • Story, S. (2015). Lowering Sepsis Mortality and Length of Stay: One Hospital System’s Story. Retrieved from https://www.healthcatalyst.com/wp-content/uploads/2015/06/successstory-improve-sepsis-mortality-rate.pdf
  • Rhodes, A., Evans, L. E., Alhazzani, W., Levy, M. M., Antonelli, M., Ferrer, R., ... & Rochwerg, B. (2017). Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive care medicine, 43(3), 304-377. doi: 10.1007/s00134-017-4683-6.
  • Sepsis Alliance. (2016). Sepsis fact sheet. 
  • Whippy, A., Skeath, M., Crawford, B., Adams, C., Marelich, G., Alamshahi, M., & Borbon, J. (2011). Kaiser Permanente’s performance improvement system, part 3: multisite improvements in care for patients with sepsis. The Joint Commission Journal on Quality and Patient Safety, 37(11), 483-AP3. https://doi.org/10.1016/S1553-7250(11)37061-4
  • Advisory Board. (2014) How to scale sepsis protocols across an entire health system. https://www.advisory.com/research/physician-executive-council/prescription-for-change/2014/10/how-to-scale-sepsis-protocols
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.

Course summary
Available credit: 
  • 0.25 AMA PRA Category 1 Credit™
  • 0.25 General certificate of attendance
Course opens: 
07/01/2019
Course expires: 
06/30/2022

Leslie C. Everett, R.N.
Director of Nursing
Homestead Hospital, Intensive Care Unit 

Eduardo Martinez-DuBouchet, M.D. 
eICU Associate Medical Director
Baptist Health South Florida 

Tatiana Posada, BSN, R.N.
Clinical Consultant, Evidence-Based Clinical Care
Baptist Clinical Enterprise, Baptist Health South Florida

Lellany Ruiz
Project Manager, Evidence-Based Clinical Care
Baptist Clinical Enterprise, Baptist Health South Florida

Lisa-Mae Williams, R.N.
Director of Operations, eICU
Baptist Health South Florida 

Content contributors have indicated that neither they nor their spouses/partners have relevant financial relationships with commercial interest companies, and they will not include off-label or unapproved product usage in their presentations or discussions.

All other team members and those involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.25 AMA PRA Category 1 Credit™
  • 0.25 General certificate of attendance
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