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Using a Sepsis Tool to Improve Outco...

Henk, Jacy Lynn.

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Using a Sepsis Tool to Improve Outcomes in a Critical Access Hospital.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Using a Sepsis Tool to Improve Outcomes in a Critical Access Hospital./
作者:	Henk, Jacy Lynn.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	145 p.
附註:	Source: Dissertations Abstracts International, Volume: 81-09, Section: B.
Contained By:	Dissertations Abstracts International81-09B.
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27737815
ISBN:	9781392706770

Using a Sepsis Tool to Improve Outcomes in a Critical Access Hospital.
Henk, Jacy Lynn.

Using a Sepsis Tool to Improve Outcomes in a Critical Access Hospital. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 145 p.

Source: Dissertations Abstracts International, Volume: 81-09, Section: B.

Thesis (D.N.P.)--Grand Canyon University, 2020.

This item must not be sold to any third party vendors.

Sepsis has imposed a burden on healthcare and the necessity to recognize sepsis is vital in critical access hospitals (CAHs). This project introduced a sepsis screening tool of a quick Sequential Organ Failure Assessment (qSOFA) tool to nursing assessment for sepsis to improve patient outcomes and allow for more nursing autonomy in sepsis care. The purpose of this project was to determine if there was an association between the qSOFA tool use and patient outcomes of departure disposition of dismissal, transfer to ICU facility, or mortality for admitted patients with the current sepsis indicator tool at the acute project site located in central Nebraska. Benner's theory of novice to expert was used as the theoretical foundation for this project. The population of review were patients age 30 and over that presented to the emergency department (ED) and admitted or were directly admitted that triggered a Systemic Inflammatory Response Syndrome (SIRS) alert. A chi-square test of independence was conducted and the p value was 0.181. The results of the practice improvement project showed patient outcomes improved with the use of the qSOFA tool. In pre-intervention, 10 (66.7%) were sent home, 2 (13.3%) died, and 3 (20.0%) were transferred. In the post-intervention, 9 (90.0%) were sent home and 1 (10.0%) was transferred; however, the results of the project were not statistically significant. Based on the findings of the project, it is recommended that a global change in the electronic medical record (EMR) software be requested for a permanent place to document a qSOFA score. It is also recommended that sepsis be considered a medical emergency and for interventions to proceed in a rapid response fashion at the acute project site located in central Nebraska.

ISBN: 9781392706770Subjects--Topical Terms:

528444
Nursing.

Using a Sepsis Tool to Improve Outcomes in a Critical Access Hospital.
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