Case Number 3555
Request Date 26/03/2014
Completion Date 28/04/2014

 

Details of the Request

  1. Does your Trust have a mechanism for recording incidents of severe sepsis and septic shock?
     
  2. Is sepsis on the Trust’s risk register?
     
  3. Is there a nominated Consultant with responsibility for sepsis at the Trust?
     
  4. Does the Trust resource sepsis nurses and/or dedicated Consultant time?
     
  5. How does the Trust record cases of sepsis? (e.g. ICD-10) How is the data reported to the Executive?
  6. How many patients were diagnosed with severe sepsis in: 2013/14: 2012/13: 2011/12: 2010/11:
     
  7. How many patients were diagnosed with septic shock in: 2013/14: 2012/13: 2011/12: 2010/11:
     
  8. Does the Trust have an established pathway for basic care once a patient is diagnosed with sepsis?
     
  9. Does the Trust follow the Sepsis Six guidelines?
     
  10. If not using the Sepsis Six, please identify the pathway below
     
  11. Does the Trust use an Early Goal-Directed Therapy (EGDT) pathway for patients arriving in the Emergency Department with septic shock?
     
  12. How is EGDT initiated in patients arriving in the Emergency Department with septic shock? By ED team, By ITU medical team, By ITU nursing team, By dedicated sepsis team
     
  13. Does the Trust audit the time taken for a patient to receive antibiotics within the first hour as recommended by the ‘Start Smart then Focus’ guidance provided by the Department of Health?
     
  14. What percentage of patients with early signs of severe sepsis received antibiotics within an hour as recommended?
     
  15. Do you have an escalation and communication pathway in place for patients with severe sepsis to facilitate senior involvement and inter-departmental transfers?
     
  16. Do you provide a blood gas machine or near patient testing allowing measurement of lactate in the Emergency Department and Intensive Care Unit to allow early recognition of sepsis?
     
  17. Are you aware of the recently released report of the Parliamentary and Health Service Ombudsman on Sepsis; and if so have you made any changes to the way you record and deal with Sepsis at the Trust?
     
  18. The Parliamentary and Health Service Ombudsman recommended that senior staff were available 24 hours a day 7 days a week and should be consulted when severe sepsis is present. Does your Trust have senior Consultant cover 24 hours a day 7 days a week for all acute specialities admitting patients?

 

Details of the Response

Please see completed questionnaire attached.