Quality Improvement to Promote Sepsis Reassessment: The Sepsis Reassessment Protocol Improvement Project (SRPIP)

Background: Implementation of the Surviving Sepsis Campaign (SSC) guidelines into practice has demonstrated improved outcomes. Local Problem: Compliance with a sepsis protocol, based on the SSC guidelines, in an urban teaching hospital was below the national average. Methods: A pre- and posttest intervention design was used to improve clinician knowledge, confidence, and compliance with the protocol. Interventions: Educational modules were developed on the SSC guidelines and reminder system alerts (RSA) for timely revaluation of patients with sepsis and lactate monitoring were implemented. Results: A total of 33 (48%) clinicians participated. There was an increase in knowledge, documentation of sepsis reassessment, and serum lactate monitoring. There was an improvement in clinician perceptions following the initiative. Conclusions: The results demonstrate that education, combined with RSAs, can improve protocol knowledge and compliance.