Design of a national patient-centred clinical pathway for sepsis in Sweden

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Design of a national patient-centred clinical pathway for sepsis in Sweden

Strålin, Kristoffer (författare): Karolinska Institute,Karolinska University Hospital

Linder, Adam (författare): Lund University,Lunds universitet,Infektionsmedicin,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Translationell Sepsisforskning,Forskargrupper vid Lunds universitet,SEBRA Sepsis and Bacterial Resistance Alliance,Infection Medicine (BMC),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Translational Sepsis research,Lund University Research Groups,Skåne University Hospital

Brink, Magnus (författare): National Program Group for Infectious Diseases, National System for Knowledge-Driven Management within Swedish Healthcare, Sweden's Regions in Collaboration, Sweden; Department of Infectious Diseases, Sahlgrenska University Hospital, Gothenburg, Sweden,Natl Syst Knowledge Driven Management Swedish Heal, Swedens Reg Collaborat, Natl Program Grp Infect Dis, Stockholm, Sweden.;Sahlgrens Univ Hosp, Dept Infect Dis, Gothenburg, Sweden.

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Benjaminsson-Nyberg, Patrik (författare): Linköping University,Linköpings universitet,Institutionen för biomedicinska och kliniska vetenskaper,Medicinska fakulteten,Region Östergötland, Akutkliniken i Linköping,Linköping University Hospital

Svefors, Jesper (författare): Department of Infectious Diseases, Ryhov Hospital, Jönköping, Sweden,Ryhov Hosp, Dept Infect Dis, Jonkoping, Sweden.,Ryhov County Hospital, Jönköping

Bengtsson-Toni, Maria (författare): Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden,Skane Univ Hosp, Dept Internal Med, Malmo, Sweden.

Abelson, Christina (författare): Funäsdalen Primary Healthcare Centre, Funäsdalen, Sweden,Funasdalen Primary Healthcare Ctr, Funasdalen, Sweden.

Offenbartl, Karsten (författare): Expert and Consultant in Surgery, Jönköping County, Jönköping, Sweden,Expert & Consultant Surg, Jonkoping, Sweden.

Björkqvist, Kristina (författare): Sepsisföreningen (Patient Organization), Sweden,Sepsisforeningen Patient Org, Stockholm, Sweden.

Rosenqvist, Mari (författare): Department of Infectious Diseases, Skåne University Hospital, Malmö, Sweden,Skane Univ Hosp, Dept Infect Dis, Malmo, Sweden.

Rönnkvist, Annica (författare): Division of Inflammation and ageing, Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Div Inflammat & Ageing, Stockholm, Sweden.

Svärd-Backlund, Jenny (författare): Health and Medical Care Administration, Stockholm, Sweden

Wallgren, Karin (författare): Department of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Dept Clin Microbiol, Stockholm, Sweden.

Tydén, Jonas (författare): Umeå University,Umeå universitet,Anestesiologi och intensivvård,Department of Anesthesiology and Intensive Care, Östersund Hospital, Östersund, Sweden,Ostersund Hosp, Dept Anesthesiol & Intens Care, Ostersund, Sweden.;Umea Univ, Dept Surg & Perioperat Sci Anaesthesiol & Crit Car, Umea, Sweden.

Wallgren, Ulrika (författare): Karolinska Institute

Vicente, Veronica (författare): Karolinska Institute

Cajander, Sara, 1980- (författare): Örebro universitet,Institutionen för medicinska vetenskaper,Department of Infectious Diseases, Örebro University Hospital, Örebro, Sweden; Department of Infectious Diseases, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Orebro Univ Hosp, Dept Infect Dis, Orebro, Sweden.;Orebro Univ, Fac Med & Hlth, Dept Infect Dis, Orebro, Sweden.

Lipcsey, Miklós (författare): Uppsala University,Uppsala universitet,Anestesiologi och intensivvård,Uppsala Univ Hosp, Dept Anesthesiol & Intens Care, Uppsala, Sweden.,Uppsala University Hospital

Nauclér, Pontus (författare): Karolinska Institute,Karolinska University Hospital

Kurland, Lisa, 1960- (författare): Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Emergency Medicine, Örebro University Hospital, Örebro, Sweden; Department of Medical Sciences, Örebro University, Örebro, Sweden; National Program Group for Emergency Care, National System for Knowledge-Driven Management within Swedish Healthcare, Sweden's Regions in Collaboration, 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.

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(creator_code:org_t)

Taylor & Francis, 2023
2023
Engelska.
Ingår i: Infectious Diseases. - : Taylor & Francis. - 2374-4235 .- 2374-4243. ; 55:10, s. 716-724

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)

Nyckelord

SOFA score
Sepsis
clinical pathway
discharge coding
sepsis alert
sepsis recovery
clinical pathway
discharge coding
Sepsis
sepsis alert
sepsis recovery
SOFA score

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Anestesi och int ...

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Av lärosätet: Örebro universitet; Umeå universitet; Uppsala universitet; Linköpings universitet; Lunds universitet; Karolinska Institutet

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