Updates

Education is key...
September 14, 2024

Education is key as teams develop new processes and policies - every team has their own way making sure everyone is on the 'same page' which helps facilitate quality care -

  • Learning module created to standardize content/processes and provide new hire education
  • Team working on “Life After Sepsis” resource for patients with education services
  • Team member education for standardization and early recognition of signs and symptoms of Sepsis
  • All nursing team members attended VILT/online training regarding maternal sepsis and screening process. New process will reinforced in team huddles and staff meetings once finalized

Sepsis Training 

Partnering with pharmacy...
August 30, 2024

Timely effective treatment requires partneering with pharmacy for joint problem-solving for issues that teams face like these

  • Discuss Sepsis emergency antibiotic kit creation with pharmacy and ID 
  • Discuss with pharmacy antibotic tx protocols at night to see if any concerns on specific dosing
  • Added antibiotics to maternity Omnicell to be available within an hour if needed. When the pharmacy on-site is closed the after hours team will be available for pharmacy to dose orders.
Identifying barriers...
July 18, 2024

An important part of the work for teams is identifying and overcoming barriers that may be unique to their facilities such as - 

  • Barrier: Unable to capture antepartum patients with sepsis in current reports - Solution: Develop report to capture antepartum patients
  • Barrier: Current dashboard is not capturing known sepsis cases - Solution: Collaborate with IT to identify why dashboard is missing patients

- highlighting the importance of a team approach and the need for cross-department collaboration

OB Sepsis Golden Bundle
June 29, 2024

OB Sepsis Golden Bundle

Implementing the changes
May 17, 2024

PDSAs. Plan Do. Study. Act.  The cycle of PDSAs is beginning to yield results as teams move toward implementation - putting in place new protocols for review and follow-up...

Pharmacies are key...
April 11, 2024

Pharmacies are a key component of timely treatment and teams are working with their pharmacies to ensure quick and appropriate access to antibiotics...

Education around screening...
March 25, 2024

Work proceeds as teams review their current order sets and prepare and deliver education around screening for sepsis.  Teams are sharing order sets with each other to ensure best practice.

9 weeks in...
March 6, 2024

...and already we're getting reports of teams successfully redesigning their processes around the new AIM standards and completing their first multidisciplinary case review.

Adding skills at the second learning session...
February 20, 2024
Register here - Mon, May 6, 2024 9:00 AM - 4:30 PM, The McKimmon Conference and Training Center at NC State, 1101 Gorman St, Raleigh, NC

Malavika Prabhu, who will speak on Recognition of OB Sepsis. 

Dr Prabhu is a board-certified maternal-fetal medicine (MFM) specialist and attending physician at Massachusetts General Hospital who cares for pregnant patients and families with the full spectrum of complex pregnancies.

To complement her clinical interests, Dr. Prabhu is also a clinical researcher, with her academic interests focused on understanding how to decrease pregnancy-associated complications, as well as quality improvement work on optimizing the practice and delivery of obstetric care. She also serves as an Editorial Board member for Obstetrics & Gynecology, a leading journal in the field, as well as a member on the Publications Committee for the Society of Maternal-Fetal Medicine.

Luis Pacheco, who will speak on Treatment of Obstetric Sepsis 

Dr. Luis Pacheco is the Division Chief of Obstetrics and Maternal Fetal Medicine as well as Professor in the Department of Obstetrics and Gynecology and the Department of Anesthesiology, Division of Surgical Critical Care at the University of Texas Medical Branch in Galveston.

Dr. Pacheco’s work in both maternal fetal medicine and critical care medicine is unique in that he is the only maternal-fetal medicine specialist in the country who actually staffs a non-obstetrical surgical critical care unit along with other critical care specialists. His publications have contributed significantly to the education of maternal fetal medicine doctors and general obstetricians regarding medical complications during pregnancy. His research interest is in critical care obstetrics.

In addition -

Dr. Jim deVente will be leading a live OB Sepsis Simulation Drill and preparing you to do your own drills at your facility. Come with questions and be prepared to participate!

Melissa Bauer will again be on hand to answer your questions and help you work through issues you may have encountered and plan next steps.

Bauer, Pacheco, and Prabhu are co-authors of the Alliance for Innovation on Maternal Health Consensus Bundle on Sepsis in Obstetric Care

Finalizing the Quality Improvement Plan...
February 6, 2024

As they finish up the readiness requirements for participation teams are turning their attention to finalizing their Quality Improvement Plans - having a thoughtful, detailed, complete improvement plan is essential for guiding the work, providing a path and a timeline for improvement. The QIP is not set in stone, but is a living document, a basis for monthly cycles of improvement and subject to modification as teams dive into improvement work and learn more about the barriers and opportunities they are facing.

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