Survey of adherence to sepsis care bundles in six European countries shows low adherence and possible patient risk

Sepsis is a life-threatening condition which globally claims more lives than cancer. A set of evidence-based clinical practices (sepsis bundles) have been developed to guide early diagnosis and rapid intervention, which are vital to patient survival; however, their use is not widely adopted. A cross...

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Main Authors: Ron Daniels, Mark Miller, Ellie Foot, Sophie Pittaway, Serena Urzi, Arnaud Favry
Format: Article
Language:English
Published: BMJ Publishing Group 2023-06-01
Series:BMJ Open Quality
Online Access:https://bmjopenquality.bmj.com/content/12/2/e002304.full
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author Ron Daniels
Mark Miller
Ellie Foot
Sophie Pittaway
Serena Urzi
Arnaud Favry
author_facet Ron Daniels
Mark Miller
Ellie Foot
Sophie Pittaway
Serena Urzi
Arnaud Favry
author_sort Ron Daniels
collection DOAJ
description Sepsis is a life-threatening condition which globally claims more lives than cancer. A set of evidence-based clinical practices (sepsis bundles) have been developed to guide early diagnosis and rapid intervention, which are vital to patient survival; however, their use is not widely adopted. A cross-sectional survey was administered in June–July 2022 to understand healthcare practitioner (HCP) knowledge of and adherence to sepsis bundles and identify key barriers to adherence in the UK, France, Spain, Sweden, Denmark and Norway; a total of n=368 HCPs ultimately participated. The results showed that among HCPs, overall awareness of sepsis and the importance of early diagnosis and treatment is high. However, there are indications that adherence to sepsis bundles is well below the standard of care: when asked which steps providers carry out to treat sepsis, only 44% report carrying out all steps in the bundle; and 66% of providers agreed that delays in sepsis diagnosis occur sometimes where they work. This survey also highlighted the possible barriers which are impeding the implementation of optimal sepsis care: particularly high patient caseload and staff shortages. This research highlights important gaps and obstacles in reaching optimal care of sepsis in the surveyed countries. There is a need for healthcare leaders and policy-makers alike to advocate for increased funding for more staff and training to address existing knowledge gaps and improve patient outcomes.
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spelling doaj-art-e594c805b6af4f4599ae543ec44182432024-12-18T07:20:10ZengBMJ Publishing GroupBMJ Open Quality2399-66412023-06-0112210.1136/bmjoq-2023-002304Survey of adherence to sepsis care bundles in six European countries shows low adherence and possible patient riskRon Daniels0Mark Miller1Ellie Foot2Sophie Pittaway3Serena Urzi4Arnaud Favry5UK Sepsis Trust, London, UKbioMérieux, Lyon, FranceIpsos, London, UKIpsos, London, UKIpsos, London, UKbioMérieux, Lyon, FranceSepsis is a life-threatening condition which globally claims more lives than cancer. A set of evidence-based clinical practices (sepsis bundles) have been developed to guide early diagnosis and rapid intervention, which are vital to patient survival; however, their use is not widely adopted. A cross-sectional survey was administered in June–July 2022 to understand healthcare practitioner (HCP) knowledge of and adherence to sepsis bundles and identify key barriers to adherence in the UK, France, Spain, Sweden, Denmark and Norway; a total of n=368 HCPs ultimately participated. The results showed that among HCPs, overall awareness of sepsis and the importance of early diagnosis and treatment is high. However, there are indications that adherence to sepsis bundles is well below the standard of care: when asked which steps providers carry out to treat sepsis, only 44% report carrying out all steps in the bundle; and 66% of providers agreed that delays in sepsis diagnosis occur sometimes where they work. This survey also highlighted the possible barriers which are impeding the implementation of optimal sepsis care: particularly high patient caseload and staff shortages. This research highlights important gaps and obstacles in reaching optimal care of sepsis in the surveyed countries. There is a need for healthcare leaders and policy-makers alike to advocate for increased funding for more staff and training to address existing knowledge gaps and improve patient outcomes.https://bmjopenquality.bmj.com/content/12/2/e002304.full
spellingShingle Ron Daniels
Mark Miller
Ellie Foot
Sophie Pittaway
Serena Urzi
Arnaud Favry
Survey of adherence to sepsis care bundles in six European countries shows low adherence and possible patient risk
BMJ Open Quality
title Survey of adherence to sepsis care bundles in six European countries shows low adherence and possible patient risk
title_full Survey of adherence to sepsis care bundles in six European countries shows low adherence and possible patient risk
title_fullStr Survey of adherence to sepsis care bundles in six European countries shows low adherence and possible patient risk
title_full_unstemmed Survey of adherence to sepsis care bundles in six European countries shows low adherence and possible patient risk
title_short Survey of adherence to sepsis care bundles in six European countries shows low adherence and possible patient risk
title_sort survey of adherence to sepsis care bundles in six european countries shows low adherence and possible patient risk
url https://bmjopenquality.bmj.com/content/12/2/e002304.full
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