User:Kmarquis2

I am a senior medical student at the University of Kansas School of Medicine-Wichita. As part of our required senior course in Population Health in Practice (http://wichita.kumc.edu/php), we implement a quality improvement project at a local clinical site. To ensure that the intervention in the project is based on best available clinical knowledge, we execute a literature search and assessment and then summarize the assessment online at WikiDoc. The aim of our study is to analyze the time between the arrival to the ED and the ordering and drawing of blood cultures and lactate for patients with the discharge diagnosis of severe sepsis or septic shock to improve early recognition of sepsis and septic shock at WMC and ultimately reduce mortality.

Summary of an original study. Triage sepsis alert and sepsis protocol lower times to fluids and antibiotics in the ED. (PMID: 26386734). In a retrospective, quasiexperimental study conducted in the Emergency Department, an EHR-based triage sepsis alert system and standardized protocol was implemented in an effort to identify adult patients with suspected sepsis, severe sepsis, or septic shock and improve patient outcomes. This led to a significant reduction in the time to fluids and time to antibiotics.