Open this publication in new window or tab >>Ryhov Hosp, Dept Infect Dis, Jonkoping, Sweden..
Skane Univ Hosp, Dept Internal Med, Malmo, Sweden..
Funasdalen Primary Healthcare Ctr, Funasdalen, Sweden..
Expert & Consultant Surg, Jonkoping, Sweden..
Sepsisforeningen Patient Org, Stockholm, Sweden..
Skane Univ Hosp, Dept Infect Dis, Malmo, Sweden..
Karolinska Univ Hosp, Div Inflammat & Ageing, Stockholm, Sweden..
Hlth & Med Care Adm, Stockholm, Sweden..
Karolinska Univ Hosp, Dept Clin Microbiol, Stockholm, Sweden..
Ostersund Hosp, Dept Anesthesiol & Intens Care, Ostersund, Sweden.;Umea Univ, Dept Surg & Perioperat Sci Anaesthesiol & Crit Car, Umea, Sweden..
Fisksatra Primary Healthcare Ctr, Stockholm, Sweden.;Karolinska Inst, Sodersjukhuset, Dept Clin Sci & Educ, Stockholm, Sweden..
Fisksatra Primary Healthcare Ctr, Stockholm, Sweden.;Karolinska Inst, Sodersjukhuset, Dept Clin Sci & Educ, Stockholm, Sweden.;Ambulance Med Serv Stockholm, Stockholm, Sweden..
Orebro Univ Hosp, Dept Infect Dis, Orebro, Sweden.;Orebro Univ, Fac Med & Hlth, Dept Infect Dis, Orebro, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care. Uppsala Univ Hosp, Dept Anesthesiol & Intens Care, Uppsala, Sweden..
Karolinska Univ Hosp, Dept Infect Dis, Stockholm, Sweden.;Karolinska Inst, Dept Med, Stockholm, Sweden..
Orebro Univ Hosp, Dept Emergency Med, Orebro, Sweden.;Orebro Univ, Dept Med Sci, Orebro, Sweden.;Natl Syst Knowledge Driven Management Swedish Heal, Natl Program Grp Emergency Care, Swedens Reg Collaborat, Stockholm, Sweden..
Show others...
2023 (English)In: Infectious Diseases, ISSN 2374-4235, E-ISSN 2374-4243, Vol. 55, no 10, p. 716-724Article in journal, Editorial material (Other academic) Published
Abstract [en]
Background: The World Health Organization has adopted a resolution on sepsis and urged member states to develop national processes to improve sepsis care. In Sweden, sepsis was selected as one of the ten first diagnoses to be addressed, when the Swedish government in 2019 allocated funds for patient-centred clinical pathways in healthcare. A national multidisciplinary working group, including a patient representative, was appointed to develop the patient-centred clinical pathway for sepsis. Methods: The working group mapped challenges and needs surrounding sepsis care and included a survey sent to all emergency departments (ED) in Sweden, and then designed a patient-centred clinical pathway for sepsis. Results: The working group decided to focus on the following four areas: (1) sepsis alert for early detection and management optimisation for the most severely ill sepsis patients in the ED; (2) accurate sepsis diagnosis coding; (3) structured information to patients at discharge after sepsis care and (4) structured telephone follow-up after sepsis care. A health-economic analysis indicated that the implementation of the clinical pathway for sepsis willmost likely not drive costs. An important aspect of the clinical pathway is implementing continuous monitoring of performance and process indicators. A national working group is currently building up such a systemformonitoring, focusing on extraction of this information from the electronic health records systems. Conclusion: A national patient-centred clinical pathway for sepsis has been developed and is currently being implemented in Swedish healthcare. We believe that the clinical pathway and the accompanying monitoring will provide a more efficient and equal sepsis care and improved possibilities to monitor and further develop sepsis care in Sweden.
Place, publisher, year, edition, pages
Taylor & Francis Group, 2023
Keywords
Sepsis, sepsis alert, clinical pathway, discharge coding, SOFA score, sepsis recovery
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:uu:diva-513066 (URN)10.1080/23744235.2023.2234033 (DOI)001035690300001 ()37477232 (PubMedID)
2023-10-062023-10-062023-10-06Bibliographically approved