Managed clinical protocol: impact of implementation on sepsis treatment quality indicators

Protocolo clínico gestionado: impacto de la implementación en los indicadores de calidad del tratamiento de la sepsis

ABSTRACT

Objectives:

to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.

Methods:

an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi Info^TM.

Results:

the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).

Conclusions:

this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.

Descriptors:
Clinical Protocols; Sepsis; Nursing; Quality Indicators, Health Care; Emergency Treatment