Source · HSSIB Patient Safety Investigation
Sepsis: investigating under the Patient Safety Incident Response Framework (PSIRF)
Published 22 August 2024
Published
Delayed diagnosis
Hospital care
Patient safety themes
Three 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.
Summary
5 areas of improvement
Areas of Improvement
Area 1
Area
Variability in the medical support accessed by nursing staff due to the medical care arrangements for the nursing home. Area of improvement 2
Area 2
Area
Difficulty for nursing staff getting medicines prescribed by GPs on the electronic patient record system. Area of improvement 3
Area 3
Area
Lack of involvement of families to support the assessment of confusion in patients.
Area 4
Area
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.
Area 5
Area
There is variation in the understanding of the role of the critical care outreach team in managing the care and treatment of deteriorating patients.