Improvement in detecting Sepsis
In September 2016 Urgent Care 24 began a Sepsis Quality Improvement project with the Advancing Quality Alliance (AQuA) in collaboration with the Sepsis Team at the Royal Liverpool University Hospital, led by Dr Emmanuel Nsutebu (National Adviser on sepsis to NHS England).
The aim of the project was to improve the quality of sepsis referrals by ensuring that basic observations, sufficient to calculate a National Early Warning Score (NEWS), were taken in at least 75% of adult cases referred to hospital with a febrile illness. The baseline was 11% of cases, and Urgent Care 24 achieved their target of 75% in August, sustaining it in September this year.
Dr. Suzanne Fletcher (Urgent Care 24 Quality Improvement Lead and Sepsis Champion) and Dr. John Caldwell (Clinical Lead) presented a poster on this work at the Leaders in Healthcare Conference at the Echo Arena Conference Centre, Liverpool, October 30-November 1 2017.
Suzanne and John are members of the National Out of Hospital Sepsis Group chaired by Dr Simon Stockley, RCGP Sepsis Lead, and attended a Sepsis Summit in January 2017 at the RCGP London, with a follow up meeting which will determine the RCGP statement on Sepsis planned for later this month in Birmingham.
As a result of this they presented on ‘Building a Sepsis Aware Community’ as part of an all-day Sepsis training day for GPs in Manchester on Wednesday 25th October 2017. They are also part of the Sepsis Research Collaborative led by Dr Matthew Inada-Kim of the Wessex Academic Network.
Quality Improvement Building Blocks Framework
UC24 is working with Dr Pete Chamberlain – currently at Sefton CCG – to develop the use of the ‘Quality Improvement Building Blocks Framework’ in practice.
This useful tool identifies how to translate improvement ideas into pragmatic, operational solutions.