NCT05961137

Orange Park Out-of-Hospital Quality Improvement Study for Improving CMS Sepsis Core Measures

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 66 (actual)
• Sponsor: Orange Park Medical Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The goal of this quality improvement study is to measure the impact of incorporation of a manual rapid fluid infuser (RFI) for intravenous crystalloid infusion in patients with suspected sepsis in the prehospital interval. The main question\[s\] it aims to answer are: * Does the intervention affect the timeliness of fluid administration? * Does the intervention affect CMS sepsis bundle care measure compliance? * Does the intervention affect processes and outcomes of care? * Are there any adverse effects? Researchers will compare this intervention to use of more conventional gravity or pressure-infusion bag crystalloid infusion.

Conditions

• Sepsis
• Emergency Medical Services
• Quality Improvement
• Shock, Septic
• Fluid Therapy

Interventions

Type	Name	Description
OTHER	Incorporation of Rapid Fluid Infusion Device in Prehospital Suspected Sepsis Protocol	Modified protocol specifying intravenous crystalloid infusion Rapid Fluid Infusion Device. The protocol states that for patients meeting the sepsis alert criterion, EMS will provide basic medical care, oxygen, a 12-lead electrocardiogram, attempt placement of an IV catheter and initiate administration of 30mL/kg of fluids.
OTHER	Conventional Prehospital Suspected Sepsis Protocol	Conventional protocol employing intravenous crystalloid infusion via gravity or pressurized-bag. The protocol states that for patients meeting the sepsis alert criterion, EMS will provide basic medical care, oxygen, a 12-lead electrocardiogram, attempt placement of an IV catheter and initiate administration of 30mL/kg of fluids.

Timeline

• Start date: 2021-04-01
• Primary completion: 2021-12-31
• Completion: 2022-08-31
• First posted: 2023-07-27
• Last updated: 2023-07-27

Locations

1 site across 1 country: United States