Medical Audits Sepsis Screening and Sepsis 6 Audit Tool
Early Warning Scores assist healthcare professionals in recognising the deterioration of a patient by categorising the severity of illness, thus prompting staff to review the patient and carry out specific tests and actions to determine the presence of sepsis.
Medical Audits, Sepsis 6 Screening audit tool has been bespoke designed to assist with the implementation and ongoing audit of actions taken to identify sepsis, severe sepsis and septic shock.
Medical Audits TS+ Sepsis bundles simplify the complex processes involved in Identifying Sepsis and enable standardised Sepsis management.
Each of our bundles are designed to audit practice in relation to the key elements of sepsis management with a range of care bundles and audits to support the implementation of best practice guidelines.
Our Sepsis Management bundle includes audits and training resources for Sepsis Management
Implementing Sepsis screening programmes is now a national patient safety initiative. Medical Audits Sepsis Management audits are designed by healthcare experts with years of experience in implementing change and driving improvement strategies.
We know how challenging this can be and so we have designed a suite of audits, backed up with training and education resources, to empower staff in the clinical area.
Management of Sepsis
The Management of SEPSIS and screening for Sepsis has become a worldwide target for Infection Prevention and Patient Safety in Healthcare and in the community.
The equivalent of the Emirates stadium full of people die of Sepsis each year in the UK alone.
Early detection, timeliness and competency of clinical response are recognised as the main determinants of clinical outcome in people with acute illness (RCP, 2012)
Numerous studies internationally now recommend the use of Track and Trigger systems or ‘early warning scores’ (EWS) to ensure prompt identification and adequate response to patients who either present with acute illness or who become acutely ill during their hospital stay.
Once SEPSIS is diagnosed or suspected, implementation of SEPSIS 6 should occur within one hour.
BEST PRACTICE STANDARD
All patients with an EWS or 4 or more (or 5 on supplementary Oxygen) should be assessed for SEPSIS.
This involves assessing the patient for evidence or suspicion of a new infection and then assessment of the patient for signs of sepsis or septic shock.
Assessing for Evidence of New Infection
A medical examination and review of the patient should be carried out to check if the patient has any local signs of infection or risks for infection.
- A red or inflamed wound site,
- a sore throat,
- a productive cough,
- a sore IV cannula site
- or pain passing urine as examples
Assessing the patient for possibility of SEPSIS
There are a number of different standard measures used for the assessment of patients for possibility of sepsis.
Systemic Inflammatory Response Syndrome (SIRS)
The patient should be checked for systemic signs of infection including respiratory rate above normal;
- heart rate above normal
- raised White cell count
- pyrexia or hypothermia
- acutely altered mental status
- raised blood glucose level (in non diabetic).
SOFA - Sequential Organ Function Assessment.
This assessment scores points from 0 to 24 based on the following criteria:-
- Pao2/Fio2 ratio
- Glasgow Coma Scale score
- Mean Arterial Pressure
- Serum Creatinine/Urinary output
- Bilirubin
- Platelet Count
qSOFA (Quick SOFA)
This assessment scores points from 0 to 3 based on the following criteria:
- Respiratory rate
- Glasgow Coma Scale
- Systolic Blood Pressure
If there is any evidence or risk of infection and any of the above predictors for sepsis then, according to best practice standards, SEPSIS 6 should be initiated and completed within an hour.
NOTE:- Current evidence points towards SOFA in the ICU setting and qSOFA outside the ICU as more effective than SIRs at predicting SEPSIS.
Medical Audits Technology Systems enable and support your implementation to best practice guidelines and standards
✔ The Surviving Sepsis Campaign, International Guidelines for Management of Sepsis and Septic Shock: 2016
✔ The 3rd International Sepsis Consensus definitions for Sepsis and Septic Shock (JAMA 2016)
✔ National Clinical Guideline Number 6: Sepsis Management (HSE 2015)
✔ NICE guidelines on the recognition, diagnosis and management of severe sepsis 2016
As with all Medical Audits’ systems, the data is available in real time on the audit devices AND on up to the minute digital dashboards, providing staff with feedback as soon as the audit is completed.
FOR MORE ON MEDICAL AUDITS SEPSIS MANAGEMENT AUDIT TOOLS CLICK HERE