Development of a Multidisciplinary Sepsis Management Model in an Emergency Department
Keywords:
Sepsis, Sepsis patient, Sepsis management, Multidisciplinary, Emergency departmentAbstract
Management of sepsis patients in an emergency department needs effective multidisciplinary teamwork to ensure optimum outcomes. This developmental research aimed to develop a multidisciplinary sepsis management model in the emergency department at Maharaj Nakorn Chiang Mai Hospital, and to explore the feasibility of the model for sepsis management. The National Health and Medical Research Council's Guide to the Development of Clinical Practice Guidelines (1999) was applied as the framework for the model development. The developed model covered the management in three processes, including sepsis screening, diagnosis, and treatment, and the assignment of involved personnel and their roles. Participants for testing the feasibility of the model were 40 healthcare providers involved in the management of sepsis patients in the emergency department. The model was piloted for 2 weeks. There were 24 sepsis patients during the pilot period. The feasibility of the model was assessed by the Sepsis Management Model Feasibility Questionnaire and the model testing outcomes, including door-to-needle time within 60 minutes, occurrence of septic shock, and mortality rate. The data was analyzed using descriptive statistics.
Results showed that all participants agreed on the feasibility of using the model in real practice. The model testing outcomes revealed that all 24 sepsis patients received antibiotics within 60 minutes after emergency department arrival, 5 patients developed septic shock (20.83%), and none died.
The results confirmed that the Multidisciplinary Sepsis Management Model was feasible in real situation practice. It should be further implemented and tested for effectiveness.
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