Case Studies: Health System Maintains Sepsis Bundle Performance Throughout COVID-19 Pandemic
From 2017-2019, this region’s emergency medicine and hospital medicine teams achieved outstanding improvement in sepsis bundle compliance and sepsis mortality as part of a joint initiative between Envision and this region’s health system. However, these facilities experienced the same challenges that all healthcare facilities have faced since early 2020. Three pandemic surges placed unprecedented stress on clinical and clinical support personnel at these facilities, leading to sizable shortages in coverage and a reliance on traveling and PRN clinicians that made buy-in for quality improvement measures difficult to obtain.
Envision recognized that boosting clinician engagement and improving data insights across the emergency department and hospital floor were key to maintaining quality.
57.5% → 70.2% → 72.6%
Increase in 3-hour sepsis bundle compliance
25% → 60% → 61.6%
Increase in first-hour to ABX
29% septic shock mortality
3.8% severe sepsis mortality