https://padlet.com/vbarrios16/sepsisresearch Authors: Virginia Barrios, Tamara Duroseau, Thomas Jackson, James Munson en-us 2020-09-30 04:33:33 UTC 2023-02-17 02:28:06 UTC hello@padlet.com https://www.wcppe.org.uk/wp-content/uploads/2018/02/Sepsis-WordCloud-canstockphoto39023804.jpg vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/790261585 In emergency room patients, how does early detection of sepsis, compared to delayed detection of sepsis, affect reducing intensive care unit (ICU) admissions and morbidity?]]> 2020-09-30 05:01:01 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/790261585 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/793639183 "Deliberate Nursing Process Theory"]]> 2020-10-01 05:33:10 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/793639183 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/793694790 2020-10-01 06:14:02 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/793694790 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/793739513 The databases used to search for information regarding sepsis treatments were CINAHL Complete, Ovid Full-Text Nursing,  Centers for Disease Control and Prevention (CDC), American Family Physician Journal (AFP),  International Journal of Emergency Medicine, Journal of Nursing Care Quality, BioMed Central, National Institute of Health (NIH), and National Center for Biotechnology Information (NCBI). The keywords searched on were “sepsis,” “severe sepsis,” “septic shock,” ‘infection,”  “emergency department,” “mortality,” “sepsis bundle,” “ICU admissions,” “outcomes,” “detection,” “timing,” and “admissions.”   

]]> 2020-10-01 06:41:53 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/793739513 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/793742292 Filters used to simplify search included  PDF full text, peer-review,  English language, and time range from 2012-2020.]]> 2020-10-01 06:43:37 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/793742292 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/793774540 The searched studies ranged in Level of evidence from III to IV.]]> 2020-10-01 07:02:32 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/793774540 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/794615145 -Many studies address the importance of early sepsis detection to decrease ICU admissions and mortality. 
-The approach used to detect early sepsis requires education, training, multidisciplinary collaboration, and proper treatment protocols/tools, i.e., sepsis bundle]]> 2020-10-01 13:48:52 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/794615145 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/795174653 Perceived greatest cause of delay in the treatment of severe sepsis/septic shock are:
-Delay in diagnosis of sepsis by physicians
-Delay in availability of ICU beds
-Lack of recognition in triage
-Knowledge deficit regarding appropriate management
-Nursing delays (eg. Time to completion of orders)
-Laboratory delays
-Pharmacy delays
-Lack of necessary equipment]]> 2020-10-01 15:49:35 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/795174653 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/795206522 -Lactate lab (done before antibiotic administration)
-blood culture (done before antibiotic administration)
-antibiotic administration
-IV fluids]]> 2020-10-01 15:56:39 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/795206522 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/795222212 by Surviving Sepsis Campaign (SSC) ]]> 2020-10-01 16:00:21 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/795222212 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/795295849 Deliberative Nursing Process Theory emphasizes the reciprocal relationship between the patient and the nurse and the nurse's role in meeting the patient's immediate need. (Gonzalo, 2019)]]> 2020-10-01 16:15:55 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/795295849 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/795323613 In utilizing Orlando's theoretical framework there could be an earlier detection and intervention of sepsis which could improve patient outcomes by meeting their immediate needs.]]> 2020-10-01 16:22:00 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/795323613 kjack003 https://padlet.com/vbarrios16/sepsisresearch/wish/795812035 Sepsis is a life threatening condition that occurs when an infection you already have, triggers a chain reaction and begins to damage tissues and bodily organs.  Sepsis was diagnosed in 1.7 million people nationwide, and is responsible for 270, 000 deaths (CDC 2020).  ]]> 2020-10-01 18:04:50 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/795812035 kjack003 https://padlet.com/vbarrios16/sepsisresearch/wish/795828681 What is Sepsis. (2020, August 27). Centers for Disease Control and Prevention. https://www.cdc.gov/sepsis/what-is-sepsis.html]]> 2020-10-01 18:08:24 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/795828681 kjack003 https://padlet.com/vbarrios16/sepsisresearch/wish/795883831 In the Emergency Department (ED), quality sepsis care is delivered when there is valid triaging, addressing the source of infection, administering antibiotics and fluid resuscitation early (Wuthisuthimethawee, P, 2019). ]]> 2020-10-01 18:20:31 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/795883831 kjack003 https://padlet.com/vbarrios16/sepsisresearch/wish/795916151 Wuthisuthimethawee, P. W. (2019, April 11). Septic Shock in the ER. National Institute of Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6489668/]]> 2020-10-01 18:27:53 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/795916151 jamesmunson85 https://padlet.com/vbarrios16/sepsisresearch/wish/797827762 As technology in healthcare continues to advance, newer methods have been developed to monitor a patient’s electronic health record (EHR) for data related to severe sepsis in an attempt to recognize the signs and symptoms of the diagnosis earlier and implement treatment accordingly (Burdick et al., 2020). While few of these methods have been proven to have predictive capabilities, machine learning algorithms (MLAs) have the potential to improve overall patient outcomes with advanced warnings of possible sepsis onset (Burdick et al., 2020). ]]> 2020-10-02 14:39:42 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/797827762 jamesmunson85 https://padlet.com/vbarrios16/sepsisresearch/wish/797840844 Burdick, H., Pino, E., Gabel-Comeau, D., McCoy, A., Gu, C., Roberts, J., Le, S., Slote, J., Pellegrini, E., Green-Saxena, A., Hoffman, J., & Das, R. (2020, February 14). Effect of a sepsis prediction algorithm on patient mortality, length of stay and readmission: a prospective multicentre clinical outcomes evaluation of real-world patient data from US hospitals. BMJ Journals. Retrieved September 17, 2020, from https://informatics.bmj.com/content/27/1/e100109]]> 2020-10-02 14:43:02 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/797840844 jamesmunson85 https://padlet.com/vbarrios16/sepsisresearch/wish/797873471 2020-10-02 14:50:37 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/797873471 jamesmunson85 https://padlet.com/vbarrios16/sepsisresearch/wish/797880183 -Sepsis has a massive effect on the healthcare system and the costs associated with treating it.  
-In 2008, sepsis accounted for nearly 5.2% of hospital expenditure, at a cost of $20 billion, with over 1 million persons hospitalized (Pruinelli et al., 2018).]]> 2020-10-02 14:52:06 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/797880183 jamesmunson85 https://padlet.com/vbarrios16/sepsisresearch/wish/797889136 Pruinelli, L., Westra, B. L., Yadav, P., Hoff, A., Steinbach, M., Kumar, V., Delaney, C. W., & Simon, G. (2018). Delay within the 3-hour surviving sepsis campaign guideline on mortality for patients with severe sepsis and septic shock. HHS Public Access. Retrieved September 28, 2020, from https://doi.org/0.1097/CCM.0000000000002949]]> 2020-10-02 14:54:23 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/797889136 jamesmunson85 https://padlet.com/vbarrios16/sepsisresearch/wish/797910069 2020-10-02 14:59:45 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/797910069 kjack003 https://padlet.com/vbarrios16/sepsisresearch/wish/798983081 -Sepsis is difficult to stay ahead of due to the fact it is so hard to diagnose in the emergency department.  
-Ways to help prevent infections from manifesting into sepsis is to prevent infections, practice good hygiene, know the signs of sepsis, and act swiftly when signs and symptoms arise (CDC, 2020). 
-Implementation of a clinical sepsis tool in the emergency department has proven to decrease mortality rates (Threatt, 2020).
-Intensive care units' inability to provide beds for septic patients quickly enough to continue treatment is a setback for patient outcomes.]]> 2020-10-02 19:51:17 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/798983081 kjack003 https://padlet.com/vbarrios16/sepsisresearch/wish/798995421 How can I get ahead of Sepsis. (2020, September 1). Centers for Disease Control and Prevention. https://www.cdc.gov/sepsis/prevention/index.html]]> 2020-10-02 19:56:45 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/798995421 https://padlet.com/vbarrios16/sepsisresearch/wish/799139782 In conclusion, there are numerous research studies to discover the early detection and management of sepsis. It has been proven on several occasions that early detection of sepsis in the ED significantly reduces ICU admissions and patient morbidity and mortality. Initial acknowledgment is a vital point of the entire management of sepsis because it allows for prompt treatment. This ultimately improves survival, thus decreasing mortality and morbidity in individuals. The worldwide estimated incidence is 270 cases per 100,000 inhabitants/year, and the mortality rate ranges between 20 and 40% (Emanuela et al., 2019). The effects of both hospital policies and protocols and alert systems have decreased the number of mortality in patients. Two of the main factors that are introduced in research articles are hospital cost and patient mortality. Sepsis is responsible for more than one-third of all hospital admissions, and it is associated with an enormous financial burden on healthcare (Emanuela et al., 2019). This research paper has demonstrated numerous articles that provide comprehensive data in early detection tools and prognosis data, like EHR alert systems, high lactate, and albumin levels, and sepsis bundles, include rapid recognition and management protocols in ED, including blood cultures, fluid resuscitation, and early broad-spectrum antibiotic therapy (Burney et al., 2012). Further studies of interest should aim to reduce selection limitations in sepsis progression programs, perform research at multiple organizations, and incorporate screening tools in EHR systems. Similarly, missed opportunities for identification in triage and a delay in physicians' diagnosis were among the most commonly cited barriers.

]]> 2020-10-02 21:13:41 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/799139782 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/799200996 Burney, Mara, et al. (2012). Early Detection and Treatment of Severe Sepsis in the Emergency Department: Identifying Barriers to Implementation of a Protocol-Based Approach. Journal of Emergency Nursing, 38(6), 512-517. http://dx.doi.org.ju.idm.oclc.org/10.1016/j.jen.2011.08.011 ]]> 2020-10-02 22:00:47 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/799200996 vbarrios16 https://padlet.com/vbarrios16/sepsisresearch/wish/799203840 Threatt, D. L. (2020). Improving Sepsis Bundle Implementation Times: A Nursing Process Improvement Approach. Journal of Nursing Care Quality, 35(2), 135–139. https://doi-org.ju.idm.oclc.org/10.1097/NCQ.0000000000000430

]]> 2020-10-02 22:03:27 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/799203840 kjack003 https://padlet.com/vbarrios16/sepsisresearch/wish/799883904 This is a short summarization of the information befor you. Enjoy!]]> 2020-10-03 16:49:20 UTC https://padlet.com/vbarrios16/sepsisresearch/wish/799883904