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Towards 'Sepsis with Optimal Treatment': Evaluating the sepsis care pathway in Acute Medicine and identifying scope for systems improvement

Joel Meyer, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, Zoe Fritz, Hannah Burton, Christopher Ward, Anna Simpson, Vazeer Ahmed, Adult Intensive Care Unit, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, Guy's and St Thomas' NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust, Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust, Cambridge University Hospitals NHS Foundation Trust
2013 Acute medicine  

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Sepsis commonly presents to the acute medicine unit (AMU). Timely recognition and treatment can reduce the significant associated mortality, but United Kingdom AMUs and emergency departments are often inadequately equipped to manage sepsis with early-goal directed therapy. We conducted an observational study of 50 consecutive patients admitted with severe sepsis. Demographic, physiological and microbiological data, and information about the provision and timing of care were collected in real
more » ... e. Treatment fell below "surviving sepsis" targets with only 28% of patients receiving sufficient fluid, and 64% receiving antibiotics within 3 hours, associated with delays in seeing physicians; however despite this mortality was lower than the nationally quoted average (14% at 90 days).
doi:10.52964/amja.0272 fatcat:daomfdsppvdmlhwaaipba5qw5y
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Joel Meyer, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, Zoe Fritz, Hannah Burton, Christopher Ward, Anna Simpson, Vazeer Ahmed, Adult Intensive Care Unit, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, Guy's and St Thomas' NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust, Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust, Cambridge University Hospitals NHS Foundation Trust. "Towards 'Sepsis with Optimal Treatment': Evaluating the sepsis care pathway in Acute Medicine and identifying scope for systems improvement." Acute medicine 12.1 (2013) 5-12