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Effectiveness of a sepsis response team in the treatment of severe sepsis and septic shock: A 20 patient feasibility study
Cha, H.L. Raile, T.M. Hale, LaDonna S.
Cha, H.L.
Raile, T.M.
Hale, LaDonna S.
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Conference paper
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2007-04-27
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Cha H.L, Raile T.M. & L.S. Hale. (2007). Effectiveness of a sepsis response team in the treatment of severe sepsis and septic shock: A 20 patient feasibility study. In Proceedings : 3rd Annual Symposium : Graduate Research and Scholarly Projects. Wichita, KS : Wichita State University, p.117-118
Abstract
The Society of Critical Care Medicine
(SCCM) advocates use of a national data collection tool to
measure compliance with treatment guidelines for severe
sepsis. Some facilities utilize a Sepsis Response Team (SRT)
to manage sepsis; however, their effectiveness has not been
published. Purpose: Provide information to aid in the design
of an appropriate study methodology, develop a
multidisciplinary research team, create a paper data collection
tool, utilize the SCCM data collection tool, and develop
resource expectations needed to perform larger-scale studies.
Setting: 760-bed tertiary care teaching hospital. Methods:
This feasibility study describes the process to form a
multidisciplinary research team, select patients, create a paper
data collection form, utilize the SCCM tool, and
retrospectively collect data from 20 patient charts, 10 treated
by a SRT and 10 treated by individual prescribers. Results:
Mean hours required for chart abstraction dropped
significantly as the team gained experience with the
abstraction process. Several SCCM data points were
subjective, requiring a team consensus of definitions to
maintain consistency. A difference in mean age between
groups was identified. Other confounding variables that may
be encountered in a larger-scale study were identified and are
discussed. Conclusion: Large-scale studies evaluating
efficacy of a SRT using the SCCM tool, will likely require
significant resources and a multi-disciplinary team of
researchers. A case-matched study design may be needed to
mitigate population differences.
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Description
Paper presented to the 3rd Annual Symposium on Graduate Research and Scholarly Projects (GRASP) held at the Hughes Metropolitan Complex, Wichita State University, April 27, 2007.Research completed at Department of Physician Assistant, College of Health Professions, Wichita state university.
Research completed at Department of Physician Assistant, College of Health Professions.
Research completed at Department of Physician Assistant, College of Health Professions.
Publisher
Wichita State University. Graduate School.
Journal
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Series
GRASP
v.3
v.3