alexa Sepsis: Reducing Occurrence, And Optimizing Clinical, Pharmaceutical, Staff Expertise And Cost-percase Outcomes
ISSN: 2155-9627

Journal of Clinical Research & Bioethics
Open Access

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3rd International Conference on Advanced Clinical Research and Clinical Trials
September 20-21, 2017 Dublin, Ireland

Steven H Shaha
Center for Public Policy & Administration and Institute for Integrated Outcomes, USA
Posters & Accepted Abstracts: J Clin Res Bioeth
DOI: 10.4172/2155-9627-C1-003
Abstract
Reduced Sepsis: Sepsis among the most severe challenges in healthcare globally with high mortality and cost consequences cost-wise alone, $36 billion annually, and $110,000 cost-per-case. Much Sepsis is “acquired” in hospital, so early identification of pre-Sepsis cases and initiation of prophylactic treatment are crucial to Sepsis averted. Traditional approaches have proven ineffective for this persistent problem. Earlier pre-Sepsis recognition and care were addressed through locally-developed Sepsis early warning systems (SEWs) adults and paediatric in every ward/unit. Implementation of the SEWs resulted in. • 62.5% fewer Sepsis cases • 95.1% less Time for early pre-sepsis identification and care initiation (from 571.2 to 28.7 minutes) • 13.2% lower length of stay in intensive care units • 73.3% decreased codes • 30.3% decreased sepsis-related cardiac arrests • $14.3 million (US$) cumulatively. Improved Sepsis Care: Much of sepsis cannot be averted due to admissions or unavoidable in-hospital comorbidities. Traditionally cases are assigned to ICU due to clinical expertise. Can sepsis care be channeled outside of ICUs yet achieve better clinical outcomes, caretaker expertise and cost-per-case? Guidelines were developed internally to classify sepsis patients by severity for triaging and assigning to non-ICU wards/units (medical/surgical (Med/Surg), sub-ICU) by severity, all guided and facilitated by seasoned expert. Caregivers underwent Sepsis Nurse Program. House-wide sepsis increased in volume and severity during the study. Regardless, results showed reduced ICU admissions/assignments with increase caseloads in Med/Surg and sub-ICU. Impacts • 50.7% lower mortality house-wide, significantly in each care area • 23.6% reduced ICU mortality • 48.1% reduced patient days • 74.96% reduced cost-per-case, equaling estimated $32 million additional annually • Zero clinical complications experienced
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