DescriptionPurpose of Project: The purpose of this quality improvement (QI) project was to perform a program evaluation of a community teaching hospital (CTH) sepsis bundle and utilize the data gathered from the program evaluation for the development of a modified program.
Methodology: Stufflebeam’s CIPP (context, input, process, product) evaluation model was the theoretical framework that guided the study. Under the CIPP components, the study design utilized existing hospital sepsis data reports, registered nurses survey (n = 50) using a five-point Likert-type scale questionnaire, a secondary analysis of chart review data, and a gap analysis.
Results: Results indicated that CTH sepsis bundle compliance was below its 2019 benchmark goals and insufficient knowledge among some nurses on CTH sepsis bundle protocol. Also, the result showed that lactic acid (16.5%) was the highest category responsible for sepsis bundle failure in 2019, followed by antibiotics (9.4%), intravenous fluids (5.9%), blood cultures (3.5%), and repeat volume and tissue perfusion (2.4%). The gap analysis result showed that the CTH sepsis bundle was 100% compliant with CMS SEP-1 core measure guidelines.
Implications for Practice: This program evaluation resulted in a compilation of recommendations for program modifications that can improve sepsis bundle compliance, benchmark scores, and hospital finance. The recommendations can also help CTH attain its yearly bundle compliance goals.