The latest issue of The Joint Commission Journal on Quality and Patient Safety features the results of a 22-month project to reduce sepsis mortality in hospitals using the Integrated Nurse Leadership Program (INLP), a model funded by the Moore Foundation and developed by the University of California, San Francisco. INLP focuses on building practical leadership skills and collaborations among nurses and frontline clinicians to lead quality improvement efforts in hospitals.
Nine San Francisco Bay Area hospitals participated in the INLP Sepsis Mortality Reduction Project and set a goal to reduce sepsis mortality by 15 percent. Sepsis is a serious life-threatening condition and a major challenge for health care organizations to treat because it arises unpredictably and can progress rapidly. Participating hospitals worked on building leadership and process improvement skills of frontline clinicians and implemented strategies to enhance early identification and timely treatment of sepsis. A total of 172 hospital staff participated, including nurse managers and educators, respiratory therapists, physicians, pharmacists, laboratory and medical records specialists and administrators.
Results of the project were significant. Sepsis mortality for eight of the participating hospitals decreased by 43 percent—from an average of 28 percent at the baseline period to 16 percent at the project’s completion. In addition, the eight hospitals sustained the reduction in sepsis mortality for more than a year after the project. The data collection for eight of the hospitals ran from July 2008 to January 2011. A ninth hospital was added six months after the start of the project and its results were not included in the project’s findings.
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