Developments in the management of sepsis at BHT

1
Developments in the management of sepsis at BHT

• Dr KJ Cann

• 12/12/12

2
Sepsis at Buckinghamshire Healthcare Trust
Scope
Challenge
Recognition and management of septic patients as
in "surviving sepsis"
Delayed antibiotic administration of antibiotics,
lack of sampling
Outcome
Change
Audits of AE patients with positive blood
cultures mean time to antibiotics. 10.5 hr
2010 4.6 hr July 2011 2.5 hr Jan. 2012

1. Sepsis training day including neutropaenic
   sepsis
2. Development of sepsis ICP
3. Audit
4. Training

3
Sepsis at Buckinghamshire Healthcare Trust

• FURTHER WORK
• 4th audit underway-
• 1 month cohort of culture positive ALL sites
• (i.e. wards and AE)
• Use results for re-launch of I.C.P.
• Reaudit with ICP included in blood culture sets

4
Neutropaenic Sepsis at Buckinghamshire Healthcare
Trust
Scope
Challenge
Cancer Care and Haematology Unit Dr A Panigrahi,
SDU Lead Jeanette Tebbutt, Nurse Consultant and
Lead Cancer Nurse
Door to needle time for antibiotics 1 hour 100
- CQUIN 2012/2013
Change
Outcome
1st audit 2/9 22 antibiotics 1hr 2nd audit
10/14 71 antibiotics 1hr Needs to 100 in Q3
and Q4 to achieve CQUIN
Education and awareness raising with junior
doctors, ward staff and patients. Clear pathway