Sepsis: Ohio Provides Hospitals with a Battle Plan
Among the recommendations, hospital leaders are asked to provide the resources and visible, vocal promotion of an accountable culture of safety in support of sepsis reduction.
Organizationally, hospitals are asked to develop early identification and intervention processes for sepsis, and coordinate sepsis prevention across the care continuum.
"A lot of it is just a conscientiousness about the process. It is identifying these patients earlier," Abrams says. "This is not like we don't know what to do. This is a condition that lends itself to certain interventions that work. Get the proper antibiotics to these patients in a timely way."
Abrams says hospital leaders respond more assertively when they're shown how their sepsis numbers compare with competitor and peer hospitals.
"Just that act alone raises awareness and identifies it as something that merits leadership level attention," he says.
"Once they understand that 'this is a problem in our facility' and there are interventions that work, that clinical science tells us the three-hour bundle is an actual intervention that clinicians have identified, the hospitals can learn for themselves where things break down."
Ultimately, Abrams says OHA "wants to do for sepsis what we did for ventilator-associated pneumonia: Make them rare."
"Raise everyone's awareness that this is a condition that you need to be intellectually curious about. Once you have identified it, here is a known intervention that works," he says.
"There are all kinds of reasons why you should be curious about sepsis. One is the number of lives you are saving, but the other is the true economic cost to our system that this condition presents. We all need to be interested in this."