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Managed clinical protocol: impact of implementation on sepsis treatment quality indicators.

Authors :
Borguezam CB
Sanches CT
Albaneser SPR
Moraes URO
Grion CMC
Kerbauy G
Source :
Revista brasileira de enfermagem [Rev Bras Enferm] 2021 May 28; Vol. 74 (2), pp. e20200282. Date of Electronic Publication: 2021 May 28 (Print Publication: 2021).
Publication Year :
2021

Abstract

Objectives: to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.<br />Methods: an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM.<br />Results: the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients' chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).<br />Conclusions: this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.

Details

Language :
English; Portuguese
ISSN :
1984-0446
Volume :
74
Issue :
2
Database :
MEDLINE
Journal :
Revista brasileira de enfermagem
Publication Type :
Academic Journal
Accession number :
34076215
Full Text :
https://doi.org/10.1590/0034-7167-2020-0282