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PROMOTING QUALITY CARE IN SEPSIS IDENTIFICATION 1 Project Trigger and the Iowa Model Flowchart to Promote Quality Care in Sepsis Identification

PROMOTING QUALITY CARE IN SEPSIS IDENTIFICATION 2 Project Trigger and the Iowa Model Flowchart to Promote Quality Care in Sepsis Identification In recent years, the management and prevention of sepsis have emerged as critical priorities in healthcare settings worldwide. Sepsis, a life-threatening condition resulting from the body's overwhelming response to infection, presents a significant challenge in emergency departments due to its rapid progression and high mortality rates (Centers for Disease Control and Prevention, 2018). This quality improvement project addresses the pressing need for effective sepsis prevention, identification, and treatment strategies within the emergency department. By identifying triggers for intervention, engaging key stakeholders, and implementing evidence-based practices guided by the Iowa Model Flowchart, this project seeks to promote timely recognition, early intervention, and optimal management of sepsis cases. Triggers for Project The trigger for this project is the suboptimal identification and treatment of sepsis cases in our emergency department. Description of Problem Our facility has identified a concerning gap in the timely recognition and management of sepsis cases within the emergency department. Data from the past year reveals instances where sepsis cases were either missed or not treated promptly, leading to adverse patient outcomes and increased mortality rates. In fact - over half of all septic patients (an estimated 800 patients of 1000 identified and audited throughout 2023) were completely missed by triage nurses, doctors, and primary nurses upon emergency room arrival. Because of this, there were missed opportunities of delayed antibiotic administration and fluid resuscitation, contributing to

PROMOTING QUALITY CARE IN SEPSIS IDENTIFICATION 3 prolonged hospital stays and higher healthcare costs. These findings highlight the critical need to improve sepsis identification and treatment protocols in our emergency department. Priority for Organization and Team Members The primary stakeholders for this quality improvement project include emergency department staff, hospital administration, infectious disease specialists, and the quality improvement team. Engaging these stakeholders is crucial for the successful implementation and sustainability of sepsis identification and treatment protocols. Strategies for engagement include regular meetings with emergency department staff to discuss protocol implementation, presentations to hospital administration highlighting the importance of resource allocation, collaboration with infectious disease specialists for protocol development, and involvement of the quality improvement team in monitoring and evaluation. Evidence to Conduct the Project The intervention for this project involves implementing a sepsis identification and treatment bundle protocol, including early recognition, timely administration of antibiotics, fluid resuscitation, and close monitoring of vital signs. Evidence supporting this intervention comes from reputable organizations such as the Centers for Disease Control and Prevention (CDC) and research articles from peer-reviewed journals. The CDC's Sepsis Toolkit provides guidance on early recognition and treatment (2018), while research articles by Singer et al. (2016) and Rhodes et al. (2017) offer consensus definitions and international guidelines for sepsis management. Outcomes To determine the success of the intervention, several outcomes will be measured. These include a reduction in the time to antibiotic administration, a decrease in mortality rates

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