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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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Autores principales: Daniels, Ron, Foot, Ellie, Pittaway, Sophie, Urzi, Serena, Favry, Arnaud, Miller, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254959/
https://www.ncbi.nlm.nih.gov/pubmed/37286298
http://dx.doi.org/10.1136/bmjoq-2023-002304
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author Daniels, Ron
Foot, Ellie
Pittaway, Sophie
Urzi, Serena
Favry, Arnaud
Miller, Mark
author_facet Daniels, Ron
Foot, Ellie
Pittaway, Sophie
Urzi, Serena
Favry, Arnaud
Miller, Mark
author_sort Daniels, Ron
collection PubMed
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 pubmed-102549592023-06-10 Survey of adherence to sepsis care bundles in six European countries shows low adherence and possible patient risk Daniels, Ron Foot, Ellie Pittaway, Sophie Urzi, Serena Favry, Arnaud Miller, Mark BMJ Open Qual Short Report 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. BMJ Publishing Group 2023-06-07 /pmc/articles/PMC10254959/ /pubmed/37286298 http://dx.doi.org/10.1136/bmjoq-2023-002304 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Short Report
Daniels, Ron
Foot, Ellie
Pittaway, Sophie
Urzi, Serena
Favry, Arnaud
Miller, Mark
Survey of adherence to sepsis care bundles in six European countries shows low adherence and possible patient risk
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
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254959/
https://www.ncbi.nlm.nih.gov/pubmed/37286298
http://dx.doi.org/10.1136/bmjoq-2023-002304
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