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Feb 08, 2017
Sepsis is a leading cause of death in children. In patients who survive, significant injury may occur to major organs such as the heart and lungs. Over the last decade, the Surviving Sepsis Campaign has reviewed evidence and has provided guidelines for care. These include rapid recognition and treatment of severe sepsis and septic shock, including administration of empiric antibiotics within one hour of sepsis recognition when possible, rapid fluid resuscitation, and early ionotropic support. Rapid treatment is associated with lower morbidity and mortality in adults. Data from children show trends in improved outcomes with rapid recognition and treatment.
Pediatricians, Emergency Department (ED) and Critical Care physicians, advanced practitioners and nurses from Children's Hospital of Philadelphia (CHOP) implemented the severe sepsis pathways using sepsis order sets that provided guidance at the point of care, and included an expedited pharmacy process. The team provided education and data to the teams for feedback.
The percentage of patients that receive antibiotics within 60 minutes has almost doubled (42 percent to 79 percent).
Organ dysfunction has decreased by 10 percent since implementation of the sepsis pathways.
Updated January, 2018
By implementing a new imaging protocol, radiation exposure was decreased for children with Ventricular Shunts.
A CHOP initiative has reduced the catheterization rate for obtaining urine in young children.
As most falls are preventable, a multidisciplinary dedicated team at CHOP works on implementing measures to keep patients safe from falls.