Date of Award

January 2016

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Yale University School of Nursing

First Advisor

Laura K. Andrews

Abstract

Objectives: Inform the development and implementation of an early response algorithm for suspected sepsis patients via a rapid response team.

Background: Recent literature supports the need for early recognition and intervention of suspected sepsis patients, potentially reducing morbidity and mortality.

Methods: A clinically and professionally reviewed algorithm was developed to execute early, sepsis-specific intervention. The algorithm design was carried out in 3 steps: (1) The establishment of recognition criteria based on evidence; (2) The validation of the algorithm by a panel of clinical experts; and (3) The development of a plan to initiate inclusion of the criteria into a rapid response team.

Results: Experts rated three of five domains described in the literature (Sepsis/Mortality, Early intervention/treatment, Code SMARRT Algorithm) as having greater than 90% agreement related to relevance and importance.

Conclusions: The implementation of the Code SMARRT algorithm has the potential to reduce unnecessary deaths related to sepsis and septic shock.

Comments

This is an Open Access Thesis.

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