Source · HSSIB Patient Safety Investigation
Sepsis: investigating under the Patient Safety Incident Response Framework (PSIRF)
HSSIB’s introductionThree reports that model investigation of sepsis under the Patient Safety Incident Response Framework (PSIRF), to boost local learning and help improve investigation quality in the NHS.
Published 22 August 2024
Published
Delayed diagnosis
Hospital care
Patient safety themes
Indexed content
5 areas of improvement
Areas of Improvement
Variability in the medical support accessed by nursing staff due to the medical care arrangements for the nursing home. Area of improvement 2
Difficulty for nursing staff getting medicines prescribed by GPs on the electronic patient record system. Area of improvement 3
Lack of involvement of families to support the assessment of confusion in patients.
There are challenges in how tools and processes enable the care of deteriorating patients to be escalated to, and overseen by, senior medical and nursing staff.
There is variation in the understanding of the role of the critical care outreach team in managing the care and treatment of deteriorating patients.