Presentation by Dr Emmanuel Nsutebu, Consultant Infectious Diseases, who leads on the E-Sepsis programme at Royal Liverpool and Broadgreen University Hospital NHS Trust, Big Innovation Conversation on Tuesday 12 June.
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
Big Innovation Conversation: E-Sepsis
1. Development and use of e-sepsis to
improve management of sepsis
Dr Emmanuel Nsutebu
Consultant Infectious Disease Physician &
Clinical lead for sepsis
National Advisor Sepsis (NHS England) and
Deterioration (NHS Improvement)
2. • Patients want us to “make them better, not harm
them, be nice to them, continue to improve”
• “Quality & Patient safety is about culture, systems
and trained staff working in teams”
• “Every system is designed to deliver what it delivers”
• We wanted to reduce variation and shift focus to
inpatients
Background
3. • Used electronic recording of observations and
National Early Warning score (e-NEWS)
• Used blood results e.g. White cell count, lactate
and U & Es
• Algorithm built on published evidence and
national guidance – NHS England sepsis
guidance 2017
How we did it?
4. • IT team and Clinicians met weekly to
develop the system
• Tested and rolled it out with support
• Continued to support and engage staff
• Identify and address culture and system
issues
How we did it?
9. Review NEWS
score – depending
on results, Step 1
of the Sepsis
evaluation may be
a mandated
question:
Answering Yes opens up Step 2
E-Sepsis on ADT
10. • Step 2 will auto tick
boxes dependant on
observations and ICE
look ups
• If any lines in Step 2 are
ticked, the patient is
placed on the Sepsis
Pathway for treatment.
E-Sepsis on ADT
18. • GP referral to cardiology with chest pain
Case Example
19. • Importance of clinicians and non-clinicians working
together to develop systems
• Non-clinicians can improve patient care
• It was adaptive not technical change -uncovered
culture issues and wider system issues about
responding to deteriorating patients
• We developed a safer system, reduced variation
and mortality
• Freed up sepsis nurse time to focus on clinical
work and quality improvement
Learning outcomes
21. Thank you
• Emmanuel.Nsutebu@rlbuht.nhs.uk
• Acknowledgements:
– Sepsis Team – Darren Railton, Jessie Monis, Maz
Hoyle, Victoria Riley
– IT Team – Tony Morley, Gemma Jones, Andrew
Davies, Matthew Gardner, Kate Warriner, David
Walliker
Editor's Notes
Need to stress need to screen and consider sepsis in all patients with NEWS 5 or more