Design of a national patient-centred clinical pathway for sepsis in Sweden
(2023) In Infectious Diseases 55(10). p.716-724- Abstract
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... (More)
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 will most 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 system for monitoring, 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.
(Less)
- author
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- clinical pathway, discharge coding, Sepsis, sepsis alert, sepsis recovery, SOFA score
- in
- Infectious Diseases
- volume
- 55
- issue
- 10
- pages
- 9 pages
- publisher
- Informa Healthcare
- external identifiers
-
- pmid:37477232
- scopus:85165470993
- ISSN
- 2374-4235
- DOI
- 10.1080/23744235.2023.2234033
- language
- English
- LU publication?
- yes
- id
- f8a91c0b-c9f9-4fd3-9128-cc51f57a9cac
- date added to LUP
- 2023-09-19 15:11:19
- date last changed
- 2024-04-19 01:28:01
@misc{f8a91c0b-c9f9-4fd3-9128-cc51f57a9cac,
abstract = {{<p>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 will most 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 system for monitoring, 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.</p>}},
author = {{Strålin, Kristoffer and Linder, Adam and Brink, Magnus and Benjaminsson-Nyberg, Patrik and Svefors, Jesper and Bengtsson-Toni, Maria and Abelson, Christina and Offenbartl, Karsten and Björkqvist, Kristina and Rosenqvist, Mari and Rönnkvist, Annica and Svärd-Backlund, Jenny and Wallgren, Karin and Tydén, Jonas and Wallgren, Ulrika and Vicente, Veronica and Cajander, Sara and Lipcsey, Miklós and Nauclér, Pontus and Kurland, Lisa}},
issn = {{2374-4235}},
keywords = {{clinical pathway; discharge coding; Sepsis; sepsis alert; sepsis recovery; SOFA score}},
language = {{eng}},
number = {{10}},
pages = {{716--724}},
publisher = {{Informa Healthcare}},
series = {{Infectious Diseases}},
title = {{Design of a national patient-centred clinical pathway for sepsis in Sweden}},
url = {{http://dx.doi.org/10.1080/23744235.2023.2234033}},
doi = {{10.1080/23744235.2023.2234033}},
volume = {{55}},
year = {{2023}},
}