The Sepsis 6 treatment bundle is optimally delivered within one hour of Triage (i.e triage represents Time Zero). Staff in ED, SJH wanted to improve on the first part of the sepsis journey by reducing time from triage to first medical assessment. They were also keen to align future process change with the electronic patient management system (called TRAK) as part of a new paper-lite approach. Using existing screening tools, triage nurses are able to determine a potential sepsis patient presenting to the ED. Our project emerged from a process map where several time delays were identified in the sepsis journey. Focusing on just one time delay has resulted in their ability to provide reliable sepsis screening and potentially optimise remaining time for delivery of subsequent assessment and, if required, delivery of Sepsis 6.
Aim: Reduce time to delivery of first IV antibiotics for 80% sepsis patients presenting to the ED at SJH Livingston, by December 2015.
