Outcome of development of The Lerdsin Hospital Sepsis Protocol Checklist
Keywords:sepsis, septic shock, protocol, best practices
This descriptive cross-sectional study aimed to investigate the outcome of the nursing care system before and after the development of Lerdsin Hospital Sepsis Protocol Checklist for sepsis patients in the emergency department. Methodology: the participants included 140 patients aged 15 years and above with a diagnosis of sepsis. The participants were assigned to two groups. Seventy patients participated in the study without the application of the protocol. The other 70 patients participated in the protocol applied using the Lerdsin Hospital Sepsis Protocol Checklist with complete data. Patients were randomly assigned into 2 groups. Intention-to-treat analysis was used to describe data from all participants randomized to protocol. Data were analyzed using descriptive statistics. Chi-square test was used to compare mean
difference. Significant level was set at p < .05.
Results showed the improvement in all nursing care processes in sepsis patient after using application of the sepsis protocol checklist (p< .05, p< .001). The number of patients with good clinical outcomes that could be discharged from hospital was significantly increased from 58.6% to
82.9%, and the mortality rate waned from 41.4% to 17.1% p< .05). However, length of hospital stay
was not statistically significantly reduced (p = .146).
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