A Snapshot of Compliance with the Sepsis Six Care Bundle in Two Acute Hospitals in the West Midlands, UK

Catriona Frankling; Jaimin Patel; Ben Sharif; Teresa Melody; Joyce Yeung; Fang Gao; Tamas Szakmany

doi:10.5005/jp-journals-10071-23204

A Snapshot of Compliance with the Sepsis Six Care Bundle in Two Acute Hospitals in the West Midlands, UK

Indian J Crit Care Med. 2019 Jul;23(7):310-315. doi: 10.5005/jp-journals-10071-23204.

Authors

Catriona Frankling¹, Jaimin Patel¹, Ben Sharif², Teresa Melody³, Joyce Yeung⁴, Fang Gao¹, Tamas Szakmany²

Affiliations

¹ Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
² Department of Anesthesia, Intensive Care and Pain Medicine, Division of Population Medicine, Cardiff University, Cardiff, UK.
³ Academic Department of Anesthesia, Critical Care, Resuscitation and Pain, Heart of England NHS Foundation Trust, Birmingham, UK.
⁴ Department of Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Warwick, UK.

Abstract

Background: The sepsis six care bundle has been adopted by hospitals in England and Wales for the management of patients with sepsis, with the aim of increasing survival when all elements of the bundle are achieved.

Aim: To assess compliance with the Sepsis Six Care Bundle in two acute NHS hospitals in the West Midlands.

Materials and methods: Adults admitted to hospital over a 24-hour period were screened for sepsis. Sepsis was identified using the Systemic Inflammatory Response (SIRS) criteria and the quick sequential organ failure assessment (qSOFA) score. Adherence to the Sepsis Six Care Bundle was assessed.

Results: 249 patients were screened and 24 patients were identified as having sepsis (9.6%). One patient received all six elements of the bundle. Compliance was highest for giving intravenous fluids (58.3%) and antibiotics (58.3%), and lowest for measuring urine output (16.7%).

Conclusions: Further research is needed to establish the reasons for low compliance.

How to cite this article: Frankling C, Patel J, Sharif B, Melody T, Yeung J, Gao F, et al. A Snapshot of Compliance with the Sepsis Six Care Bundle in Two Acute Hospitals in the West Midlands, UK. Indian J Crit Care Med 2019;23(7):310-315.