Leveraging The Electronic Health Record to Reduce Sepsis Mortality: A Collaborative Nurse Centric Initiative

Sunday, 17 November 2013: 11:20 AM

Marci Donna Hoze, RN, BSN, MPA
Patient Care Services, University of California Davis Medical Center, Sacramento, CA

Learning Objective 1: The learner will be able to describe key contributing factors for early success of the "Stop Severe Sepsis in Sixty Minutes" campaign.

Learning Objective 2: The learner will be able describe the use of best practice alerts (BPA) and clinical decision support (CDS) tools to reduce severe sepsis mortality

Sepsis is the 10th leading cause of death in the United States.  Sepsis affects approximately 750,000 individuals annually and accounts for an estimated 215,000 deaths per year. It is the leading cause of death in the non-cardiac Intensive Care Unit (ICU) and accounts for 40% of ICU expenditures. 

With the support of a grant from the Gordon and Betty Moore Foundation, the University of California Davis Medical Center has reduced sepsis mortality by 25% from 2009 baseline.  Based on expected to observed mortality, 152 lives have been saved since the inception of the campaign in July of 2011.

This quality improvement effort was accomplished by bringing together a broad range of multidisciplinary stakeholders, negotiating consensus on evidenced based practice, developing electronic health record best practice alerts (BPA) and clinical decision support (CDS) tools. Additionally, significant workflow changes were developed to aid in increasing workflow efficiency and resource utilization at the bedside and a robust education and marketing plan was developed to ensure successful implementation.  We have also worked on the challenges of developing infrastructure to analyze our processes and outcomes in a way that is meaningful to our end-user.   Ongoing BPA refinement and staff education continue to advance the program.  We will discuss key components of the development of our working committee, CDS tools, education plan and our ongoing monitoring and modification processes.