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Adult Sepsis Quality Metrics SCHANO.pdf (46.9 MB)

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Effect of Education on Adult Sepsis Quality Metrics In Critical Care Transport

Schano, Gregory R.
http://rave.ohiolink.edu/etdc/view?acc_num=msjdn155951570531873

Abstract Details

2019, Doctor of Nursing Practice, Mount St. Joseph University, Department of Nursing.
Sepsis is a serious medical concern worldwide and becomes rapidly fatal if not identified and treated early in its development. Literature reveals clinicians have difficulty recognizing sepsis timely when it is most treatable because sepsis is always secondary to an infection, its signs mirror other conditions, and there is not a diagnostic test specific for sepsis. Literature also demonstrates while education on sepsis is important and necessary, education has limited effects on the identification and treatment of patients with sepsis. Still, education promotes awareness, reinforces treatment, and enhances a nurse’s confidence in managing persons with sepsis. MedFlight is a critical care transportation company in Ohio that provides critical care life support medical transportation by helicopter and ground mobile intensive care vehicle. Within MedFlight’s broad quality management system is a scorecard which includes four metrics specific to the care of patients who are diagnosed with sepsis. These metrics include: intravenous fluid bolus, vasopressor use, serum lactate measurement, and antibiotic therapy. This DNP project explored whether a single online education intervention would affect these sepsis metrics since compliance with them was lower than expected. Findings of this project revealed that although participants felt more informed about sepsis and better prepared to treat patients with sepsis, compliance with the sepsis quality metrics was less after education than it was before the education. This is consistent with other sepsis research whereby education has a limited effect on a clinician’s ability to detect and manage patients with sepsis. Recommendations from this project included ongoing study of these metrics and more frequent feedback using a variety of means. This DNP project added to the larger body of knowledge because it was specific to critical care transport and addressed quality measures.
Laura Valle, DNP, APRN-CNM (Advisor)
71 p.
Health; Health Care; Health Care Management; Health Education; Medicine; Nursing
sepsis; septic shock; quality; quality metrics; quality assessment; quality measurement; education; critical care transport; CCT; helicopter EMS; HEMS

Recommended Citations

Citations

  • Schano, G. R. (2019). Effect of Education on Adult Sepsis Quality Metrics In Critical Care Transport [Doctoral dissertation, Mount St. Joseph University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn155951570531873

    APA Style (7th edition)

  • Schano, Gregory. Effect of Education on Adult Sepsis Quality Metrics In Critical Care Transport. 2019. Mount St. Joseph University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=msjdn155951570531873.

    MLA Style (8th edition)

  • Schano, Gregory. "Effect of Education on Adult Sepsis Quality Metrics In Critical Care Transport." Doctoral dissertation, Mount St. Joseph University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn155951570531873

    Chicago Manual of Style (17th edition)

msjdn155951570531873
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© 2019, some rights reserved.Creative Commons License Effect of Education on Adult Sepsis Quality Metrics In Critical Care Transport by Gregory R. Schano is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Based on a work at etd.ohiolink.edu.
This open access ETD is published by Mount St. Joseph University Dept. of Nursing and OhioLINK.