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Kaiser and Liverpool set examples on sepsis

Posted Jul 25 2011 11:50am
I had the pleasure of meeting Dr. Alan Whippy and some of her colleagues from Kaiser Permanente this past weekend.  We got to talking about the recent work they had done on sepsis detection and treatment.  I had missed her presentation last December at the IHI National Forum.  You can see the summary here .  An excerpt
[W]e developed an algorithm and standardized approach for early screening in the ED, and testing of patients for sepsis. This has led to an increase in sepsis detection by 102%, and an ability to treat our patients earlier with a reduction in our sepsis mortality from 25% to 15%.

This looks really good to me, and it is great that they are sharing their experiences.  As I have quoted OSU's Dr. Jim O'Brien before on this blog, in terms of general public understanding, sepsis is a seriously underrated hazard in hospital settings.

Meanwhile, look at this story from Royal Liverpool Hospital. Excerpts
Hospital chiefs admitted there was a delay in giving the right treatment to a young woman who died after developing [sepsis].

[A]fter the family questioned the actions of staff prior to her death they admitted there were failings in her care.

Hospital chief executive Tony Bell has written to them apologising “unreservedly”.

And in further correspondence the hospital trust admitted there had been a 20-hour delay from when she was admitted to when antibiotics were given.

The hospital said it is now planning to learn from Miss Gore’s death and has put an action plan in place, which includes training staff and increasing awareness of sepsis.

How many other hospitals, in the US or elsewhere, would do the same?
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