SEPSIS AND OVERALL HOSPITAL O : E MORTALITY

UAB ’ S WAR ON SEPSIS

UAB Medicine Sepsis Awareness Day 2017 From left : Mary Grace Cox ; Carl Flatley , DDS , MSD ( speaker ); Meredith Palmer ; Laura Leal ; Loring Rue , MD ; Benjamin Taylor , MD ; Steve Stigler , MD ; Anisa Xhaja

Reducing sepsis-related mortality will remain an institutional goal for FY2018 . As such , the UAB Care clinical effectiveness team will continue to engage in the “ War on Sepsis ” to further reduce sepsisrelated mortality . These efforts will include continued engagement and education of clinical teams on the CODE Sepsis process , staying up to date on the latest evidence supporting effective sepsis treatment , and refinement of the CODE Sepsis process to effectively support our care teams . In addition to improving the CODE Sepsis processes within the hospital , the UAB Care clinical effectiveness team plans to expand sepsis care-related activities to include engaging with our communities through the development of targeted patient- and family-specific educational content and through partnerships with referring hospitals to facilitate the effective transition of septic patients who require treatment at UAB Hospital .

1.5

1.2

0.9

0.6

1.42

1.06

JUN 16

1.24

1.21

1.21

1.00 0 . 99

JUL 16

AUG 16

1.43

1.38

SEP 16

OCT 16

1.30

1.07 1.07 1.06 1.06

NOV 16

0.91

DEC 16

0.93

JAN 17

1.15

0.86

FEB 17

MAR 17

1.17

1.10 0.99

0.93

APR 17

There were 67 fewer sepsis-related deaths in FY17 through August after implementation of CODE Sepsis .

MAY 17

0.98 0.92

0.94

0.88 0.89

JUN 17

JUL 17

AUG 17

Goal

Overall Hospital O : E Mortality

Sepsis O : E Mortality

Overall hospital mortality has historically mirrored sepsis mortality . Driving sepsis mortality down led to a decrease in overall hospital mortality . Source : Vizient Clinical Database / Resource Manager™

“ Our efforts are only beginning , and our care teams now recognize the significance of the challenge of identifying and treating sepsis within our hospitals ,” says Loring Rue , MD , chief medical officer . “ That said , our ultimate success will be defined by our ability to not only treat patients with sepsis when they come to our hospitals , but also by partnering with other hospitals and promoting greater education about the risks of sepsis to the community at large . That will be the challenge for our organization and also for other hospitals across the nation as we place greater emphasis on reducing the number of sepsis cases and increasing the effectiveness of treatment when required .”