Sepsis in Home Health Care: Screening, Education, and Rapid Triage.

Abstract:

BACKGROUND:A majority of sepsis cases originate in the home and community. Home health clinicians play an important role in the early identification and timely treatment of sepsis. LOCAL PROBLEM:A home health care provider sought to prevent hospital readmissions due to sepsis by implementing a sepsis-screening protocol and quality improvement initiative. METHODS:The provider conducted a retrospective chart review of 33 264 sepsis screens of 7242 patients. INTERVENTIONS:A sepsis-screening protocol, clinician and patient/caregiver sepsis education, physician and emergency department communication, and emergency medical services collaboration procedure were implemented. RESULTS:A majority (69.2%) of positive sepsis screens resulted in patients receiving early medical intervention and avoiding hospitalization. CONCLUSIONS:Having a formal sepsis-screening program in place prompts home health clinicians to communicate the patient's symptoms to their primary care provider, which can positively impact hospital readmission rates and associated medical costs.

journal_name

J Nurs Care Qual

authors

Chimenti C,Sears G,McIntyre J

doi

10.1097/NCQ.0000000000000525

subject

Has Abstract

pub_date

2020-10-19 00:00:00

eissn

1057-3631

issn

1550-5065

pub_type

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