Date of Graduation
Fall 12-16-2022
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
Program
MSN project
First Advisor
Mallory Manuel
Abstract
This quality improvement project implements educational materials informed by organization-dependent nursing informatics and SEP-1 campaign metrics to improve early sepsis management compliance in the emergency department setting. The microsystem scored below a 90% compliance target in first vital to lactic acid result within one hour, lactic acid result to antibiotic administration within one hour, and antibiotic order to administration within thirty-five minutes before implementation. Factors identified as contributing to low compliance include rates of timely and accurate sepsis screening, use of a standardized sepsis order set, and intervention documentation. An educational inservice covering correct sepsis workflow in the electronic health record was implemented and addressed a computer-assisted sepsis triage and screening algorithm, correct use of a nurse-driven order set, and documentation of interventions as part of the SEP-1 Bundle. After implementation, all three compliance outcome measures saw improvement. SEP-1 compliant care increased through this change process.
Recommended Citation
Howie, McKayla, "Improving Early Sepsis Management Compliance in the Emergency Care Setting" (2022). Master's Projects and Capstones. 1463.
https://repository.usfca.edu/capstone/1463