Sepsis/ RRAILS / AKI
Sespis, RRAILS and AKI
It is a complex condition to manage as there isn’t a common presentation and in 60% of cases an infective organism is never identified. Sepsis management is a heavy resource user as 15% of ITU patients are septic but they utilise 30% of our resources. In the UK, sepsis costs us almost £300 million a year but the costs to individuals and their families is intangible and has a far greater impact.
Early detection with prompt and appropriate treatment is of paramount importance to improve survival rates. In Wales, as part of the 1000 lives campaign, we have put in place measures that have resulted in an award winning 20% reduction in mortality – 700 additional survivors from sepsis in 2012/13.
The measures we have used successfully involved educating and engaging the members of the multidisciplinary clinical team in using the “sepsis bundle”. The sepsis bundle is a package of tests and interventions which when done together in a timely fashion have been shown to improve outcomes. Our package, sepsis 6, is described on the sepsis trust website and is an easy way to remember and implement these key elements. The overall success of the sepsis bundle is still critically dependant on multidisciplinary team input.
As we do more research and find out more about the causes and development of the septic process, we are getting better in identifying and managing it with improved mortality figures but we must remain ever vigilant to maintain our high standards.
Sepsis Survivor Story
Cllr Huw Jones recently gave a talk at the third Sepsis update day at Wrexham, click on the image to hear snippets from his presentation on his fight against overcoming Sespis (Intranet Link).
Acute Deterioration (RRAILS)
The Rapid Response to Acute Illness Learning Set is a national programme focussed on reducing harm and variation amongst patients; individuals either at risk or suffering from acute deterioration.
Sepsis and AKI
This is a common feature of Sepsis as well as a cause of acute deterioration in its own right and therefore AKI constitutes a large focus of our Acute Deterioration work programme. Wales has a system of comprehensive AKI e-alerts
World Sepsis Day 2019
Within BCUHB we have one of the lowest rates of Mortality following a diagnosis of Sepsis, but we are determined to be even better. Through the introduction of DRIPS meetings in Emergency departments our focus will be to improve on timelier intervention using the Sepsis 6 within 60 minutes of Sepsis diagnosis.
Dates of collaborative events- Faenol Fawr Hotel
5th November 2018- Day 1
29th January 2019- Day 2
4th April 2019- Day 3
Sepsis forms are an important tool in the fight against Sepsis. Please remember to complete the form whenever you either screen positive for sepsis or start treating a patient for Sepsis. This data not only allows you to record compliance with the Sepsis 6 bundle; but also allows us as an organisation to understand how to improve. In future we also hope this will form part of a system to alert AIT.
Sepsis Stickers: Ysbyty Gwynedd
The RRAILS team at Ysbyty Gwynedd has decided to trial Sepsis Stickers as an alternative method of documenting and collecting data regarding sepsis. At present these are being used on Alaw Ward.