Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
Camila Brito Borguezam, Caroline Tolentino Sanches, Silvia Paulino Ribeiro Albanese, Uiara Rodrigues de Oliveira Moraes, Cíntia Magalhães Carvalho Grion, Gilselena Kerbauy
Abstract
OBJECTIVES: to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital. METHODS: an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM. RESULTS: the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients' chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001). CONCLUSIONS: this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.