Date of Graduation

Spring 5-18-2023

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Dr. Robert Patterson


Problem: This quality improvement project aims to increase SEP-1 sepsis bundle compliance among nursing staff at a 16-bed emergency department through targeted continual staff education on sepsis screening and best practices. Currently, the unit is experiencing cases of sepsis fallout and is not meeting the 90% threshold on three treatment metrics as defined by the institutional sepsis bundle time goals. Bundle compliance that adheres to the time goals decreases incidences of sepsis fallout and overall days in the hospital, while increasing positive patient health outcomes.

Context: A microsystem assessment was completed along with a staff gap survey to determine areas of improvement in delivery of timely and quality sepsis care. Review of microsystem data and survey results indicated that continual staff education could have a positive impact on SEP-1 bundle compliance.

Intervention: An educational video and printed poster focused on best practices for sepsis identification, screening, and bundle compliance was delivered to emergency department staff.

Measures: The outcomes measures were the three SEP-1 bundle metrics for delivery of sepsis care: first vital to lactic acid results, lactic acid result to antibiotic administration, and antibiotic order to administration.

Results: Post-intervention results were inconclusive due to project time restraints.

Conclusions: The project can be deemed successful due to the backing of a multidisciplinary team and for building a foundation for future research.