Implementation of sepsis guidelines improves early assessment, recognition, and management of patients presenting to an emergency department with sepsis, according to a study published online January 10 in the Journal of Clinical Nursing.
The researchers found that 86.6 and 100% of the pre- and post-groups received intravenous antibiotics. After implementation of the guidelines there was a statistically significant 230-minute reduction in time to antibiotics. The post-implementation group, which included 165 patients, received more urgent triage categories (49.1%), had a 758 minute decrease in the average time to second liter of intravenous fluids, and experienced improvement in lactate collection (67.9%); these differences were all statistically significant.
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