NCT03226366

Effect of Emergency Department Care Reorganization on Door-to-antibiotic Times for Sepsis (LDS SWARM)

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 3,230 (actual)
• Sponsor: Intermountain Health Care, Inc. · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Sepsis is a common syndrome resulting from a dysregulated response to infection. The timing of antibiotic initiation is an important determinant of outcomes for patients presenting to the emergency department with sepsis. The potential effect of care reorganization on very early care for sepsis is unknown. This study will investigate whether multidisciplinary coordination of the initial patient evaluation in the emergency department influences door-to-antibiotic time for septic patients.

Detailed description

This is a retrospective cohort study of emergency department sepsis care before versus after implementation of a "swarming" model for simultaneous patient evaluation by multidisciplinary care providers. The analysis will use data from similar hospitals that did not change sepsis care organization during the study period to control for changes in sepsis care not resulting from the "swarming" intervention.

Conditions

• Septic Shock
• Sepsis

Interventions

Type	Name	Description
OTHER	Immediate evaluation by multidisciplinary team	Simultaneous initial evaluation by the ED physician, nurse, and patient care associate

Timeline

• Start date: 2015-05-16
• Primary completion: 2017-01-31
• Completion: 2020-04-11
• First posted: 2017-07-21
• Last updated: 2020-06-18
• Results posted: 2020-06-18

Locations

4 sites across 1 country: United States