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October 2017 Excerpt

Sepsis, antimicrobial stewardship & immunizations
Is there alignment among your programs?
When you are focused on improving a particular quality indicator, it can be easy to develop tunnel vision. But there are instances when "separate" issues are truly intertwined...such as the relationship between sepsis, antimicrobial stewardship, and immunizations.
Do you need help to ensure that your various QI efforts are aligned to get maximum value across all these issues?
  • Contact your Qualis Health QI consultant for assistance
  • Idaho hospitals can also take advantage of the resources provided to members of the Idaho Hospital Quality Collaborative. To join the IHQC and get access to these materials, email Stacey Carson or call her at 208-489-1401.
 
Relationship Outline
 
CDC sepsis banner
As illustrated in past editions of the Monthly Briefing, sepsis is a major driver of rehospitalizations.
The best chance of surviving sepsis is when it is:
  • Identified very quickly, and
  • Treated with the proper antibiotics.
 
bacteria
A well developed antimicrobial stewardship program supports treatment of sepsis.
Directly:
  • Standardizing protocols to reliably test for, and quickly identify, pathogens
  • Systems to inform the prescriber regarding the specific drugs effective against specific pathogens and a time-out to discuss the treatment plan with this information
Indirectly:
  • Helping preserve the efficacy of a variety of antibiotics
  • Speeding recovery for a whole host of infections
Get antimicrobial stewardship resources specific to the nursing home and outpatient settings.
 
syringe
Immunizations prevent infections that could lead to both sepsis and the need for antimicrobial treatment. Pneumonia, in particular, is linked to sepsis risk.
 
Healthcare providers play two important roles in protecting their patients from the flu
Encourage your patients to get vaccinated
Does your facility have standing orders for immunizations? Need more ideas, tools, and guidance?
P.S.
Flu shots are also a great way to avoid preventable infections...which connects back to AMS, sepsis, and rehospitalizations!