Sepsis Mortality Reduction Project Charter - Patientsafetycouncil.org

Population
• Treating SIRS can reduce patient progressing to Sepsis Shock
• Coding based on MD diagnosis Sepsis (get codes for sepsis)
• Most MDs state sepsis typically as severe sepsis
• Providers not aware of documenting SIRS or Sepsis
• Patient admitted into ICU with Sepsis
• Y = all patients in the hospital with sepsis
Any diagnosis - primary or secondary, etc.
• X = mortality
Goal
• Reduce the incidence and mortality of sepsis in the acute care patient by 25% across the county; during
the acute care hospital length of stay
• Need current number – administrative data – for primary and secondary diagnosis of sepsis –
what portion of patient have sepsis as secondary
• Side goal: Reduce incidence of Severe Sepsis/Sepsis Shock
• Each organization: rate of SIRS, Sepsis, etc. as primary diagnosis
How can this project help us at our facility?
• Need implementation tools for change acceleration
Elevator Speech
Recommend producing an elevator speech for each target audience.
• What our project is about… early identification and treatment of severe systemic infections
(Sepsis) to reduce Sepsis incidence and related deaths countywide by 25 percent, as well as
overall patient outcomes.
• Why it is important to do… because Sepsis is treatable with appropriate and early intervention,
yet today it is the number one cause of death in ICUs nationally with approximately four to five
patients dying per day of Sepsis in San Diego County.
• What success will look like… increased countywide compliance with evidenced-based best
practices resulting in reduced incidence and mortality of sepsis with institutions realizing an
overall decrease in patient hospital stay and costs.
• What we need from you… a commitment to understand, support, and comply with best
practices to reduce sepsis mortality including early identification of high-risk patients,
collaborating with colleagues, and providing accurate classification of sepsis.
Staging Project
Considering evidence available it’s clear what needs to be done…
Timeline
Description
April • How to care for the patient?
• Surviving Sepsis Campaign
• Order set available in most facilities
• Literature
June • Early identification of Sepsis/Order Sets
August • Finalize Toolkit
• Change management/Implementation
October • Measurement
• Stakeholder analysis
December • Project status evaluation
• Review change management