Developmental model of care system for sepsis patients Nonsuwan Hospital Buriram Province

Abstract

The objective of this research was to develop a care model for patients with bloodstream infections in Nonsuwan Hospital. Use an action research model based on the concept of quality cycle Deming: PDCA (Plan-Do-Check-Act). The sample was a multidisciplinary team of 23 people who participated in the research process in 4 steps as follows:1) Analyze the care situation of sepsis patients. 2) Development of care systems for patients with sepsis Non Suwan Hospital Buriram Province. 3) Evaluate the effect of using the care model for sepsis patients. 4) This is a follow-up period to maintain quality. Data were collected by questionnaires and interview forms. Data were analyzed using statistics, percentage, mean and standard deviation. The results showed that the process 1) Quick access to services, first-time septic shock patient rate <20%, service visits tend to improve. 2) Fast, accurate diagnosis, the rate of late diagnosis, target <50% in 2021, 63.63% late, and 2022, 27.27 percent late. 3) Appropriate treatment, timely, H/C penetration rate before ATB, ATB rate within 1 hour, IVF rate 30 ml/kg within 1 hr, patient rate at MAP >65 within 6 hr, rate Patient urine >0.5 ml/kg/hr within 6 hr. 4) Referral appropriately, safe, mortal ity rate within 24 hours, sepsis patients who refer <10% met the target criteria. Therefore, the care model for patients with bloodstream infections can be used as a model for further development of other works

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