Abstract

Early recognition and management of sepsis is associated with improved mortality and reduced critical care admissions [1]. International campaigns have tried to improve sepsis outcomes, most notably the surviving sepsis campaign which has a group of interventions i.e. the “3 hour and 6 hour bundles” at its core [2]. By improving adherence to these, mortality and morbidity associated with sepsis can be improved. The VitalPAC interface, introduced to our hospital in 2014, is an electronic system used as a replacement to conventional patient records, which allows remote viewing of patient data.

Highlights

  • Recognition and management of sepsis is associated with improved mortality and reduced critical care admissions [1]

  • The VitalPAC interface, introduced to our hospital in 2014, is an electronic system used as a replacement to conventional patient records, which allows remote viewing of patient data

  • Speed in recognition of the septic patient was variable - from diagnosis being made before SIRS criteria had been met, to 56h after

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Summary

Introduction

Recognition and management of sepsis is associated with improved mortality and reduced critical care admissions [1]. By improving adherence to these, mortality and morbidity associated with sepsis can be improved. In 16 cases no formal diagnosis of sepsis was made, and this group had the highest mortality rate - 53% compared to 28% overall. When number of components of the 3 hour bundle was analysed, it revealed that those with all 4 interventions complete had the highest mortality rate - 36%, compared to an overall mortality of 28%. They had the lowest rate of critical care admissions - 0% compared to 13% overall

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