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Quality Improvement Project – Sepsis Action Plan
Student’s Name:
Course Name:
Institution Affiliation:
SWOT Analysis of Sepsis
SWOT analysis would involve analyzing thee strengths,
weaknesses, opportunities and threats of sepsis as a clinical
issue in the healthcare industry. Consequently, this would serve
to form the basis of providing foundation for an action plan for
quality improvement of sepsis. One of the biggest strengths
regarding sepsis is that its screening has aided in saving many
lives today. According to data from the National Library of
Medicine, sepsis screening has aided in reducing the mortality
rate (Kim & Park, 2019). Reduced mortality rate has been
attributed to the early identification and treatment of sepsis.
Undeniably, sepsis screening has been enhanced through use of
tools such as the systemic inflammatory response system
(SIRS). Further, these sepsis screening tools have enhanced
efficiency and effectiveness in terms of detecting sepsis.
For these reason, morbidity and mortality rates related to sepsis
have massively reduced thus improving the overall efficiency of
health systems globally. However, despite the strength, there
exist weaknesses regarding the clinical issue of sepsis. For
instance, one of the biggest weaknesses has been the issue of
non-compliance especially of bedside nurses completing the
sepsis screening. Bedside nurses refer to healthcare
professionals who handle the personal healthcare issues of
patients. In this scenario, this has always led to delays in
utilization and positive impacts of sepsis bundle. Delayed sepsis
bundle would then increase the risk of progression to septic
shock. It is crucial to point out that delayed septic bundle is
linked to a more than twofold rise in mortality rates of patients
with sepsis after onset. On the flip side, sepsis as a clinical
issue has presented numerous opportunities for healthcare
professionals, patients and the system itself. First, reducing
mortality rates related to sepsis is one of the most significant
aspects that can be explored by healthcare professionals
globally.
To achieve this, the healthcare system and professionals must
leverage on boosting early detection and treatment of sepsis to
help save many lives globally (Carr, 2018). On top of this, there
opportunity to develop a fast-acting treatment plan for sepsis
without considering the source of the infection has present itself
to the global healthcare system. Additionally, there still exist
threats when dealing with the clinical issue of sepsis. Patients
in today’s healthcare system are at an increased risk of sepsis.
A classic example would be patients undergoing foley catherer
as this would increase the risk of sepsis (Melzer & Welch,
2017). On top of this, patients would be at risk of an infection
that can then lead to sepsis and this can also be attributed to
time spent by a patient in hospital.
Action Plan for Quality Improvement
It would be essential to integrate the systemic inflammatory
response system (SIRS), as an analytical tool bas it has proven
to be effective in undertaking of screening of patients to
effectively and efficiently detect and identify sepsis. Over time,
SIRS has remained to be one of the most commonly utilized
sepsis screening tool when identifying septic patients.
Additionally, it is important apart from using SIRS, healthcare
professionals ought to diversify their analytical frameworks
when detecting and identifying sepsis (Ebai, 2017). Apart from
focusing all efforts and actions plans in the healthcare
environment, there is need to also focus on the outside.
Specifically, there is need to accelerate sessions and training to
parents and communities in terms of sepsis awareness and this
can be accelerated through use of social media as a means of
communication. Eventually, sepsis awareness would aid in
timely and effective response to sepsis thus saving many lives
in the short and long run. To sum up, investing in research and
development of technologies aimed at boosting detection and
identification of sepsis would be a game changer in improving
health outcomes of patients in the long run.
Reference
Carr, C. F. (2018). Tools to Increase Compliance and Decrease
Mortality Due to Sepsis.
The University of Southern Mississippi
https://aquila.usm.edu/dnp_capstone/104/
Ebai, D. B. (2017). Screening Tools Used by Nurses to Identify
Sepsis in Adult Patients.
https://www.theseus.fi/bitstream/handle/10024/137994/Ebai_Ba
beh%202.pdf?sequence=1
Kim, H. I., & Park, S. (2019). Sepsis: Early recognition and
optimized treatment.
Tuberculosis and respiratory diseases,
82(1), 6-14.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304323/
Melzer, M., & Welch, C. (2017). Does the presence of a urinary
catheter predict severe sepsis in a bacteraemic cohort?
Journal of Hospital Infection,
95(4), 376-382.
https://doi.org/10.1016/j.jhin.2017.01.003
3
Collect price information for each stock from Yahoo! Finance
(finance.yahoo.com) as follows:
1. Enter the stock symbol. On the page for that stock, click
“Historical Prices” on the left side of the page.
2. Enter the “start date” as March 1, 2013 and the “end date” as
March 30, 2018 to cover the five-year period. Make sure you
click “monthly” next to the date; the closing prices reported by
Yahoo! will then be for the last day of each month.
3. After hitting “Get Prices,” scroll to the bottom of the first
page and click “Download to Spreadsheet.” If you are asked if
you want to open or save the file, click open.
4. Copy the entire spreadsheet, open Excel, and paste the Web
data into a spreadsheet. Delete all the columns except the date
and the adjusted close (the first and last columns).
5. Keep the Excel file open and go back to the Yahoo! Finance
Web page and hit the back button. If you are asked if you want
to save the data, click no.
6. When you return to the prices page, enter the next stock
symbol and hit “Get Prices” again. Do not change the dates or
frequency, but make sure you have the same dates for all the
stocks you will download. Again, click “Download to
Spreadsheet” and then open the file. Copy the last column,
“Adj. Close,” paste it into the Excel file and change “Adj.
Close” to the stock symbol. Make sure that the first and last
prices are in the same rows as the first stock.
1
2
Quality Improvement Project - Sepsis
Student’s Name:
Course Name:
Institution Affiliation:
1.
Identify the clinical issue that will be the focus of your
Quality Improvement project.
The importance of undertaking and implementing quality
improvement project in the healthcare environment cannot be
understated. It would serve to boost the performance in a
specific healthcare environment. Optimization of sepsis care is
the first clinical issue that the quality improvement project
would focus on. Sepsis is becoming a major health concern
globally as there is high risk of death when one gets it.
Specifically, delayed sepsis identification has been one of the
biggest impediments to achieving desirable health outcomes
among patients. However, integrating an analytical system as
part of the quality improvement project will help in optimizing
sepsis care. Specifically, this will involve early identification of
sepsis through use of a robust data-driven approach. Developing
this type of analytical system such as machine learning would
help clinicians to have real-time actionable data that will then
aid in boost early detection of sepsis (Klompas et al., 2020).
Consequently, requisite health interventions would be
implemented. On top of this, there would be rapid intervention
concerning severe sepsis and this will help reduce mortality and
improve health outcomes among patients. One of the most
significant challenges when dealing with sepsis is that scientists
have not been able to come up with an approved medicine that
can help in targeting the impaired or aggressive immune system.
For this reason, the need for clinicians to have access to high
quality and robust analytical systems aimed at detecting sepsis
would be crucial.
2.
Provide rationale for the need to change the status quo.
Additionally, the current status quo with respect to sepsis is that
there is lack of a robust analytical system aimed at detecting
and identifying sepsis at an early stage. Globally, there is an
ongoing debate especially in the healthcare industry regarding
the exact timing of treatment for sepsis. In this perspective,
incorporating a robust early detection and identification system
for sepsis can be vital in boosting sepsis survival rates globally.
Clinicians are the first line of care especially for patients who
are at a critical stage of sepsis. There exist various reasons why
there is need to shift from the status quo regarding sepsis and
implement actionable, efficient and robust analytical
frameworks for sepsis. First, it will aid in saving many lives of
people affected by sepsis. The analytical system will aid in
early detection, identification and diagnosis of sepsis by
clinicians thus boosting survival rates and achieve desirable
outcomes among patients. The cost of treating sepsis especially
at later stages can be very high. Increased cost can make many
patients shy away from accessing such care as they cannot
afford it. However, early detection and diagnosis is not
expensive and in this case, patients would achieve desirable
outcomes within a short time (Kim & Park, 2019). Eventually,
many lives of patients with sepsis will be saved thus positively
impacting families, communities and nations.
3.
Identify best practices from the literature related to the
issues.
In this, increasing training especially for clinicians and nurses
will go a long way in significantly improving sepsis
recognition. Specifically, training them on how to use analytical
frameworks for sepsis would be very crucial. Secondly,
integrating a robust educational framework in sepsis ought to be
leveraged by the global health industry to ensure high quality
care and standardization. Specifically, the educational
programmes anchored on sepsis would incorporate early
identification, appropriate prescription and boosting care of
patients (Rello & Rubulotta, 2018). Lastly, there is need for
increased funding towards research anchored on sepsis to
develop and implement high quality treatment plans for patients
thus improving health outcomes in the long run.
Reference
Kim, H. I., & Park, S. (2019). Sepsis: Early recognition and
optimized treatment.
Tuberculosis and respiratory diseases,
82(1), 6-14.
Klompas, M., Osborn, T. M., & Rhee, C. (2020). Who owns
sepsis?
Annals of internal medicine,
172(3), 210-211.
Rello, & Rubulotta. (2018). Best practice for sepsis.
PubMed Central (PMC).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5906331/
12Quality Improvement Project – Sepsis Action PlanSt

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12Quality Improvement Project – Sepsis Action PlanSt

  • 1. 1 2 Quality Improvement Project – Sepsis Action Plan Student’s Name: Course Name: Institution Affiliation: SWOT Analysis of Sepsis SWOT analysis would involve analyzing thee strengths, weaknesses, opportunities and threats of sepsis as a clinical issue in the healthcare industry. Consequently, this would serve to form the basis of providing foundation for an action plan for quality improvement of sepsis. One of the biggest strengths regarding sepsis is that its screening has aided in saving many lives today. According to data from the National Library of Medicine, sepsis screening has aided in reducing the mortality rate (Kim & Park, 2019). Reduced mortality rate has been attributed to the early identification and treatment of sepsis. Undeniably, sepsis screening has been enhanced through use of tools such as the systemic inflammatory response system
  • 2. (SIRS). Further, these sepsis screening tools have enhanced efficiency and effectiveness in terms of detecting sepsis. For these reason, morbidity and mortality rates related to sepsis have massively reduced thus improving the overall efficiency of health systems globally. However, despite the strength, there exist weaknesses regarding the clinical issue of sepsis. For instance, one of the biggest weaknesses has been the issue of non-compliance especially of bedside nurses completing the sepsis screening. Bedside nurses refer to healthcare professionals who handle the personal healthcare issues of patients. In this scenario, this has always led to delays in utilization and positive impacts of sepsis bundle. Delayed sepsis bundle would then increase the risk of progression to septic shock. It is crucial to point out that delayed septic bundle is linked to a more than twofold rise in mortality rates of patients with sepsis after onset. On the flip side, sepsis as a clinical issue has presented numerous opportunities for healthcare professionals, patients and the system itself. First, reducing mortality rates related to sepsis is one of the most significant aspects that can be explored by healthcare professionals globally. To achieve this, the healthcare system and professionals must leverage on boosting early detection and treatment of sepsis to help save many lives globally (Carr, 2018). On top of this, there opportunity to develop a fast-acting treatment plan for sepsis without considering the source of the infection has present itself to the global healthcare system. Additionally, there still exist threats when dealing with the clinical issue of sepsis. Patients in today’s healthcare system are at an increased risk of sepsis. A classic example would be patients undergoing foley catherer as this would increase the risk of sepsis (Melzer & Welch, 2017). On top of this, patients would be at risk of an infection that can then lead to sepsis and this can also be attributed to time spent by a patient in hospital. Action Plan for Quality Improvement It would be essential to integrate the systemic inflammatory
  • 3. response system (SIRS), as an analytical tool bas it has proven to be effective in undertaking of screening of patients to effectively and efficiently detect and identify sepsis. Over time, SIRS has remained to be one of the most commonly utilized sepsis screening tool when identifying septic patients. Additionally, it is important apart from using SIRS, healthcare professionals ought to diversify their analytical frameworks when detecting and identifying sepsis (Ebai, 2017). Apart from focusing all efforts and actions plans in the healthcare environment, there is need to also focus on the outside. Specifically, there is need to accelerate sessions and training to parents and communities in terms of sepsis awareness and this can be accelerated through use of social media as a means of communication. Eventually, sepsis awareness would aid in timely and effective response to sepsis thus saving many lives in the short and long run. To sum up, investing in research and development of technologies aimed at boosting detection and identification of sepsis would be a game changer in improving health outcomes of patients in the long run. Reference Carr, C. F. (2018). Tools to Increase Compliance and Decrease Mortality Due to Sepsis. The University of Southern Mississippi https://aquila.usm.edu/dnp_capstone/104/ Ebai, D. B. (2017). Screening Tools Used by Nurses to Identify Sepsis in Adult Patients. https://www.theseus.fi/bitstream/handle/10024/137994/Ebai_Ba beh%202.pdf?sequence=1 Kim, H. I., & Park, S. (2019). Sepsis: Early recognition and optimized treatment. Tuberculosis and respiratory diseases, 82(1), 6-14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304323/ Melzer, M., & Welch, C. (2017). Does the presence of a urinary
  • 4. catheter predict severe sepsis in a bacteraemic cohort? Journal of Hospital Infection, 95(4), 376-382. https://doi.org/10.1016/j.jhin.2017.01.003 3 Collect price information for each stock from Yahoo! Finance (finance.yahoo.com) as follows: 1. Enter the stock symbol. On the page for that stock, click “Historical Prices” on the left side of the page. 2. Enter the “start date” as March 1, 2013 and the “end date” as March 30, 2018 to cover the five-year period. Make sure you click “monthly” next to the date; the closing prices reported by Yahoo! will then be for the last day of each month. 3. After hitting “Get Prices,” scroll to the bottom of the first page and click “Download to Spreadsheet.” If you are asked if you want to open or save the file, click open. 4. Copy the entire spreadsheet, open Excel, and paste the Web data into a spreadsheet. Delete all the columns except the date and the adjusted close (the first and last columns). 5. Keep the Excel file open and go back to the Yahoo! Finance Web page and hit the back button. If you are asked if you want to save the data, click no. 6. When you return to the prices page, enter the next stock symbol and hit “Get Prices” again. Do not change the dates or frequency, but make sure you have the same dates for all the stocks you will download. Again, click “Download to Spreadsheet” and then open the file. Copy the last column, “Adj. Close,” paste it into the Excel file and change “Adj. Close” to the stock symbol. Make sure that the first and last prices are in the same rows as the first stock.
  • 5. 1 2 Quality Improvement Project - Sepsis Student’s Name: Course Name: Institution Affiliation: 1. Identify the clinical issue that will be the focus of your Quality Improvement project. The importance of undertaking and implementing quality improvement project in the healthcare environment cannot be understated. It would serve to boost the performance in a specific healthcare environment. Optimization of sepsis care is the first clinical issue that the quality improvement project would focus on. Sepsis is becoming a major health concern globally as there is high risk of death when one gets it. Specifically, delayed sepsis identification has been one of the biggest impediments to achieving desirable health outcomes among patients. However, integrating an analytical system as part of the quality improvement project will help in optimizing
  • 6. sepsis care. Specifically, this will involve early identification of sepsis through use of a robust data-driven approach. Developing this type of analytical system such as machine learning would help clinicians to have real-time actionable data that will then aid in boost early detection of sepsis (Klompas et al., 2020). Consequently, requisite health interventions would be implemented. On top of this, there would be rapid intervention concerning severe sepsis and this will help reduce mortality and improve health outcomes among patients. One of the most significant challenges when dealing with sepsis is that scientists have not been able to come up with an approved medicine that can help in targeting the impaired or aggressive immune system. For this reason, the need for clinicians to have access to high quality and robust analytical systems aimed at detecting sepsis would be crucial. 2. Provide rationale for the need to change the status quo. Additionally, the current status quo with respect to sepsis is that there is lack of a robust analytical system aimed at detecting and identifying sepsis at an early stage. Globally, there is an ongoing debate especially in the healthcare industry regarding the exact timing of treatment for sepsis. In this perspective, incorporating a robust early detection and identification system for sepsis can be vital in boosting sepsis survival rates globally. Clinicians are the first line of care especially for patients who are at a critical stage of sepsis. There exist various reasons why there is need to shift from the status quo regarding sepsis and implement actionable, efficient and robust analytical frameworks for sepsis. First, it will aid in saving many lives of people affected by sepsis. The analytical system will aid in early detection, identification and diagnosis of sepsis by clinicians thus boosting survival rates and achieve desirable outcomes among patients. The cost of treating sepsis especially at later stages can be very high. Increased cost can make many patients shy away from accessing such care as they cannot afford it. However, early detection and diagnosis is not
  • 7. expensive and in this case, patients would achieve desirable outcomes within a short time (Kim & Park, 2019). Eventually, many lives of patients with sepsis will be saved thus positively impacting families, communities and nations. 3. Identify best practices from the literature related to the issues. In this, increasing training especially for clinicians and nurses will go a long way in significantly improving sepsis recognition. Specifically, training them on how to use analytical frameworks for sepsis would be very crucial. Secondly, integrating a robust educational framework in sepsis ought to be leveraged by the global health industry to ensure high quality care and standardization. Specifically, the educational programmes anchored on sepsis would incorporate early identification, appropriate prescription and boosting care of patients (Rello & Rubulotta, 2018). Lastly, there is need for increased funding towards research anchored on sepsis to develop and implement high quality treatment plans for patients thus improving health outcomes in the long run. Reference Kim, H. I., & Park, S. (2019). Sepsis: Early recognition and optimized treatment. Tuberculosis and respiratory diseases, 82(1), 6-14. Klompas, M., Osborn, T. M., & Rhee, C. (2020). Who owns sepsis? Annals of internal medicine, 172(3), 210-211. Rello, & Rubulotta. (2018). Best practice for sepsis. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5906331/