Abstract Rationale Care of patients with Sepsis is a complex endeavor that requires sustained focus on systems of care. Meaningful gains are more likely to be accomplished with a multi-disciplinary effort rather than any one single intervention. Inconsistent SEP-1 Bundle compliance is thought to drive the suboptimal outcomes we (and our patients) experience. Methods Aa multi-disciplinary team comprised of an Intensivist Physician, a Critical Care Pharmacist and an intensive care Nurse was formed to respond to an overhead “SEPSIS CODE” within an hour of patient recognition. A conventional definition(Systemic inflammatory response syndrome i.e. SIRS syndrome and a suspected source of infection, or an elevated lactic acid level 4 mmol/L ) was chosen for ease of use. The “CODE SEPSIS” team has been in operation in our hospital since January 2016 and we present the results of our sepsis data, compared to other similar hospitals within the system. Results Sepsis mortality for the index hospital appeared to be generally trend downward for the first four years prior to intervention. Temporary increases in mortality corresponded to the COVID pandemic and were experienced throughout the hospital system(Image 1). Linear regression trend for the index hospital is displayed in the scatter plot (red line) and is compared to other hospitals within the system (Image 2). SEP-1 bundle compliance over time for the index hospital is displayed in image 3. Conclusions Our data suggests that the implementation of an Intensivist-led CODE SEPSIS team is a sustainable intervention that likely improves sepsis outcomes and SEP-1 bundle compliance. This abstract is funded by: None
Manglani et al. (Fri,) studied this question.
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