An eICU/ICU Collaborative to Reduce Sepsis Mortality

<p>Sepsis costs over 20 billion dollars annually to treat making it the most expensive diagnosis for hospitals (Afrefian, et al., 2017) and carries with it an average mortality rate of 45% (SCCM, 2016). The eICU/ICU collaborative project was developed to improve sepsis mortality at Sutter Health’s Solano hospital affiliate from 41.2% to the system-wide goal of 18.8% over the course of a year by implementing two technologies. The first was the onboarding of the non-invasive cardiac output monitoring (NICOM) technology by Sutter Solano to fulfill the 6-hour bundle compliance for septic shock resuscitation. The other technology was the activation and enhancement of the Core Measure Manager (CMM) high-quality data surveillance technology by Sutter’s eICU to screen all patients at Sutter Solano Medical Center for early identification and treatment of sepsis and septic shock. After twelve months of quality improvement measures including education, training, implementation, enhancement, tracking and treatment management; the dashboards revealed Sutter Solano’s sepsis/septic shock mortality rate dropped from 41.2% to 6.1%. Nurses and physicians need to recognize that central venous pressure (CVP) is no longer a recommended or accepted measure of hemodynamic stability. The latest evidence-based practice supports NICOM in conjunction with passive leg raise (PLR) as a foundational guideline for fluid resuscitation. The Clinical Nurse Leader (CNL), as systems analyst and risk anticipator, must manage information as well as the care environment to improve quality patient outcomes in the presence of evolving knowledge and the ever-changing healthcare system (AACN, 2013).</p>

Name thesis:degree_name

Master of Science in Nursing (MSN)

Level thesis:degree_level

Project/Capstone - Global access

Year dc:date.available

2017

Author dc:creator

• Maples, Laura S, Ms.

Contributors dc:contributor

• Elena Capella EdD, MSN, CNL
• Mary Seed PhD, MSN, BSN
• John Winchell Director of Nursing eICU (Preceptor)

• telemedicine
• interdisciplinary
• septic shock
• mortality
• hemodynamic monitoring
• high-quality data surveillance
• Critical Care Nursing

Repository record dc:identifier

https://repository.usfca.edu/capstone/537

OAI identifier oai:identifier

oai:repository.usfca.edu:capstone-1557