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Authors

  1. Chimenti, Chris MS, PT
  2. Sears, Geralyn BSN, RN
  3. McIntyre, Jack MD

Abstract

Background: A majority of sepsis cases originate in the home and community. Home health clinicians play an important role in the early identification and timely treatment of sepsis.

 

Local Problem: A home health care provider sought to prevent hospital readmissions due to sepsis by implementing a sepsis-screening protocol and quality improvement initiative.

 

Methods: The provider conducted a retrospective chart review of 33 264 sepsis screens of 7242 patients.

 

Interventions: A sepsis-screening protocol, clinician and patient/caregiver sepsis education, physician and emergency department communication, and emergency medical services collaboration procedure were implemented.

 

Results: A majority (69.2%) of positive sepsis screens resulted in patients receiving early medical intervention and avoiding hospitalization.

 

Conclusions: Having a formal sepsis-screening program in place prompts home health clinicians to communicate the patient's symptoms to their primary care provider, which can positively impact hospital readmission rates and associated medical costs.