Date of Graduation
Master of Science in Nursing (MSN)
School of Nursing and Health Professions
Early Recognition of Severe Sepsis Presentation: A Quality Improvement Project
Sepsis is a medical emergency. If not treated immediately a patient may quickly progress
to severe sepsis, septic shock and eventually death. The early recognition of severe sepsis
presentation project is an evidence based project for the medical-surgical floor to decrease the
amount of time from early signs of sepsis to treatment of sepsis.
In October 2017, the average hospital compliance for the severe sepsis bundle for the
fiscal year decreased from 80% down to 55%. Further review showed the decrease in
compliance was from the medical-surgical floor nursing staff not notifying physicians when
patients showed signs of sepsis. This microsystem needed to have changes developed and
implemented to assist the staff with an improved way for recognition of the early signs of sepsis
for patients on this unit. Interventions for nursing staff were needed to increase education
through repetitive reminders. If the staff had additional sepsis information, with a focus on
improving patient care, staff would be more engaged and willing to change current practices. An
expectation is that the hospital will have bundle results consistently at a minimum of 80% every
month. The conclusion is that by continuing to increase knowledge of sepsis to staff, they will
contact the physician immediately when a patient begins showing signs and symptoms.
Haynes, Robin, "Early Recognition of Severe Sepsis" (2018). Master's Projects and Capstones. 817.