Sepsis: recognizing the next event.

Freda L Kilburn; Phelan Bailey; David Price

Commentary

Sepsis: recognizing the next event.

November 27, 2013

Kilburn FL, Bailey P, Price D. Nursing (Brux). 2013;43(10):14-6.

View more articles from the same authors.

This commentary describes the development and implementation of a standard protocol to help nurses diagnose, assess, and treat sepsis in an emergency department.

PubMed citation

Available at

Related Resources From the Same Author(s)

Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings.

August 23, 2023

Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis.

April 20, 2011

Increasing patient safety event reporting in an emergency medicine residency.

June 7, 2017

Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards.

September 12, 2018

Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room.

July 2, 2014

An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens?

June 24, 2015

Do trainees feel that they belong to a team?

July 19, 2017

Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room.

June 4, 2014

Developing a patient safety culture in primary dental care.

June 16, 2021

When doing wrong feels so right: normalization of deviance.

March 25, 2015

Patient safety and interprofessional education: a report of key issues from two interprofessional workshops.

May 3, 2017

Self-reported adverse events in health care that cause harm: a population-based survey.

May 13, 2009

Adverse drug event reporting systems: a systematic review.

September 14, 2016

Isolation precautions for visitors.

April 29, 2015

Incivility in healthcare: the impact of poor communication.

August 2, 2023

Medication errors in the management of anaphylaxis in a pediatric emergency department.

May 1, 2013

Systematic review of patient safety interventions in dentistry.

December 9, 2015

System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model.

January 20, 2016

Patient safety knowledge and its determinants in medical trainees.

June 20, 2007

Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model.

March 9, 2016

How structural racism works - racist policies as a root cause of U.S. racial health inequities.

December 17, 2020

Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States.

May 3, 2023

Minding the gaps: assessing communication outcomes of electronic preconsultation exchange.

August 3, 2016

What causes adverse events in prehospital care? A human-factors approach.

September 19, 2012

Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital.

June 22, 2022

Comorbid conditions delay diagnosis of colorectal cancer: a cohort study using electronic primary care records.

July 26, 2017

Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis.

November 6, 2013

Repeat prescribing of medications: a system-centred risk management model for primary care organisations.

November 8, 2017

Enhancing psychological safety in mental health services.

June 9, 2021

Infection prevention in the operating room anesthesia work area.

January 30, 2019

A survey of the use of time-out protocols in emergency medicine.

May 25, 2011

Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial.

August 2, 2017

The pharmacist-physician relationship in the detection of ambulatory medication errors.

January 31, 2006

Comparing VA and Non-VA quality of care: a systematic review.

March 1, 2017

Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke.

April 21, 2021

Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.

April 15, 2015

Structural racism and health inequities in the USA: evidence and interventions.

April 14, 2017

Medication reconciliation and hypertension control.

March 24, 2010

A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients.

December 6, 2006

Medication errors in community pharmacies: evaluation of a standardized safety program.

March 15, 2023

Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations.

March 15, 2023

Culture change in infection control: applying psychological principles to improve hand hygiene.

July 24, 2013

Decreasing malpractice claims by reducing preventable perinatal harm.

September 14, 2016

Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis.

January 12, 2022

Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease.

March 6, 2019

'Doing the best we can': Registered nurses' experiences and perceptions of patient safety in intensive care during COVID-19.

September 7, 2022

Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015).

January 20, 2016

Healthcare personnel attire in non–operating-room settings.

February 12, 2014

Patient-reported safety and quality of care in outpatient oncology.

February 7, 2007

Predictors of misunderstanding pediatric liquid medication instructions.

December 9, 2009

Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study.

January 23, 2019

Optimising the delivery of remediation programmes for doctors: a realist review.

June 2, 2021

Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians.

September 26, 2018

Preparing clinicians for transitioning patients across care settings and into the home through simulation.

July 25, 2018

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units.

July 13, 2011

Patients' online access to their electronic health records and linked online services: a systematic interpretative review.

October 1, 2014

Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback.

February 8, 2017

Visual acuity, literacy, and unintentional misuse of nonprescription medications.

June 13, 2018

In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats.

May 22, 2019

Violations of behavioral practices revealed in closed claims reviews.

October 29, 2008

The American College of Surgeons' closed claims study: new insights for improving care.

April 11, 2007

Computerized surveillance for adverse drug events in a pediatric hospital.

October 7, 2009

Implementing a commercial rule base as a medication order safety net.

August 31, 2005

Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science.

February 8, 2006

Procedural safety in emergency care: a conceptual model and recommendations.

October 24, 2012

Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.

February 11, 2009

A health system–wide initiative to decrease opioid-related morbidity and mortality.

September 26, 2018

Missed opportunities for diagnosing brain tumours in primary care: a qualitative study of patient experiences.

April 3, 2019

ASHP guidelines on remote medication order processing.

July 7, 2010

Quality and safety implications of emergency department information systems.

July 17, 2013

Risk of unintentional overdose with non-prescription acetaminophen products.

June 20, 2012

Improving prescription drug warnings to promote patient comprehension.

January 20, 2010

Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator.

July 8, 2009

Helping patients simplify and safely use complex prescription regimens.

March 16, 2011

What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.

August 14, 2013

A patient-centered prescription drug label to promote appropriate medication use and adherence.

January 18, 2017

Improving handoffs in the emergency department.

October 28, 2009

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.

March 1, 2023

Human factors in anaesthesia: a narrative review.

February 15, 2023

Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency.

May 31, 2017

Health information exchange and patient safety.

November 7, 2007

Pictograms, units and dosing tools, and parent medication errors: a randomized study.

July 19, 2017

Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients.

January 11, 2023

Evaluation and certification of computerized physician order entry systems.

November 22, 2006

Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19.

March 10, 2021

Health apps and health policy: what is needed?

October 24, 2018

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

June 15, 2011

Liquid medication errors and dosing tools: a randomized controlled experiment.

October 5, 2016

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

July 29, 2009

The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events.

September 26, 2018

Initiatives to identify and mitigate medication errors in England.

April 8, 2015

A family and hospital's journey and commitment to improving diagnostic safety.

March 9, 2022

The use of computers for clinical care: a case series of advanced US sites.

March 6, 2005

Discrepant advanced directives and code status orders: a preventable medical error.

October 2, 2019

How much diagnostic safety can we afford, and how should we decide? A health economics perspective.

October 2, 2013

Association of past and future paid medical malpractice claims.

March 1, 2023

Errors with concentrated epinephrine in otolaryngology.

September 3, 2008

Negligence, genuine error, and litigation.

March 20, 2013

Current status of the monitoring of medication practice.

April 8, 2009

Medication safety: moving from illusion to reality.

March 6, 2005

Related Resources

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.

June 28, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes.

May 10, 2023

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.

June 22, 2022

Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

February 24, 2022

ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings.

May 17, 2021

Flow accuracy of IV smart pumps outside of patient rooms during COVID-19.

February 24, 2021

In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic.

November 25, 2020

Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system.

October 28, 2020

COVID-19: an emerging threat to antibiotic stewardship in the emergency department.

October 21, 2020

Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19.

October 21, 2020

Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series.

September 30, 2020

Systems thinking for managing COVID-19 in health care systems: seven key messages.

September 23, 2020

Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand.

July 15, 2020

Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers

July 8, 2020

Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative.

June 24, 2020

Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care.

June 17, 2020

Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases.

June 10, 2020

American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes.

May 20, 2020

Overcoming COVID-19: what can human factors and ergonomics offer?

May 6, 2020

Does a unit shift report "blackout" period improve patient safety?

April 10, 2019

Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.

February 27, 2019

Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach.

February 13, 2019

Decreasing surgical site infections by developing a high reliability culture.

February 6, 2019

Infection prevention in the operating room anesthesia work area.

January 30, 2019

Implementing bedside handoff in the emergency department: a practice improvement project.

January 23, 2019

Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment.

December 5, 2018

Pediatric Readiness in the Emergency Department.

November 1, 2018

Emergency department checklist: an innovation to improve safety in emergency care.

October 31, 2018

Antimicrobial stewardship and patient safety.

November 2, 2016

See More About The Topic

Emergency Departments

Nurses

Nurse Managers

Quality and Safety Professionals

Emergency Medicine

Sepsis: recognizing the next event.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Sepsis: recognizing the next event.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site