Sepsis — Goals and Metrics — Clinical Pathway: Emergency Department, Inpatient and PICU

Sepsis Clinical Pathway — Emergency Department, Inpatient and PICU

Goals

  • Obtain blood culture prior to initiation of first antibiotic
  • Initiation of first antibiotic within 1 hour for septic shock and 3 hours for sepsis + organ dysfunction
  • Alignment with surviving sepsis campaign for fluid resuscitation and hemodynamic support

Metrics

Goal 1

% of patients with blood cultures sent prior to antibiotics

Goal 2

Time to initiation of first antibiotic for patients with septic shock
% of patients with initial antibiotic initiated within first hour

Goal 4

% of patients with new organ dysfunction

Goal 5

% of patients with documentation of a huddle when huddle is recommended

References

  1. Duration of Hypotension Before Initiation of Effective Antimicrobial Therapy is the Critical Determinant of Survival in Human Septic Shock  
  2. Role of Early fluid resuscitation in pediatric septic shock  
  3. Early Reversal of Pediatric-neonatal Septic Shock by Community Physicians is Associated with Improved Outcome  
  4. Time- and Fluid-sensitive Resuscitation for Hemodynamic Support of Children in Septic Shock: Barriers to the Implementation of the American College of Critical Care Medicine/Pediatric Advanced Life Support Guidelines in a Pediatric Intensive Care Unit in a Developing World