A national quality improvement initiative for reducing harm and death from sepsis in Wales.
作者： Chris Hancock
DOI: 10.1016/J.ICCN.2014.11.004
关键词:
摘要: Summary Aims The Rapid Response to Acute Illness (RRAILS) Programme is a quality and service improvement initiative which participated in by all Welsh healthcare organisations including the Ambulance Service Trust (WAST) Velindre Cancer Centre. aims of programme were are: Implementing National Early Warning Score (NEWS) as standard clinical areas 18 acute hospitals. Quantifying incidence sepsis deterioration non Critical Care setting. Improving reliability systems for identification, escalation treatment sepsis. Demonstrably improving outcomes from other causes deterioration. Methods Clinical teams learning sets at they trained human factors principles then supported implement ‘bundles’ best evidence whilst measuring both processes outcomes. Findings All have implemented standardised tools operating procedures NEWS, screening tools, Patient Status A Glance (PSAG) boards, response bags an antibiotic formulary. demonstrated improvements detection many started demonstrate local Conclusion collaborative set effective method care throughout single economy.
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