SEPSIS+ 2019
Tackling the growing challenges of sepsis
The Sepsis+ 2019 conference afforded delegates the chance to hear from leading experts in the field of sepsis. Taking place on 11 June 2019 at the National Conference Centre in Birmingham, visitors learned about the latest research, science and innovations, and discovered real world solutions in the challenge of managing deteriorating conditions.
The conference, organised by Knowlex, began with a fascinating talk by Kenny Ajayi, patient safety, Imperial College Health Partners. He started proceedings by sharing information on how a national collaboration was assembled for the Suspicion of Sepsis (SOS) Insights Dashboard. As programme director, Kenny’s role involves driving change and innovation in patient safety across the health and social care system in north west London.
His talk was passionate, firstly
identifying the problem of measuring sepsis, primarily because the body attacks its own organs, due to infection. “Nobody has ever had sepsis without first having an infection,” he said.
Sepsis is the severe, life-threatening end of infection, and arises when the body’s response to infection injures its own tissues and organs. Without early identification and treatment there is a significant risk of long-
SEPTEMBER 2019
term disability or death. Sepsis doesn’t have a gold standard diagnostic test and there is no single, stable sepsis definition, meaning its frequency and deaths cannot be measured or compared over time, only roughly estimated. This has been compounded by coding changes this year that led to an increase in reported sepsis numbers. This has highlighted the need for a proxy measure, and the only credible, reproducible and easily obtainable proxy measure is of those admitted to hospital with infection - the Suspicion of Sepsis (SOS) category. Kenny said: “When a patient arrives at a hospital, a clinician will firstly diagnose. This information is added to the patient record, which is then sent to coders, and this date – ICG10 codes – eventually ends up at NHS digital in order for data to be enriched. “Unfortunately, there is such a variation in the way this information is coded and passed to NHS Digital, that there is no accurate way
to measure sepsis. This issue resulted in the development of the SOS Insights Dashboard.” The SOS Dashboard enables NHS staff to improve patient care and reduces potential harm, by – for the first time ever – providing consistent, accurate and reliable data on sepsis outcomes. It saves healthcare professionals’ time by making the data freely and easily accessible in usable format, and provides relevant data which can be intelligently applied with precision, to improve the quality of patient care. Local teams determine which methods work best over time, and which may need to be spread more widely across a region, or nationally. According to Kenny, it will ultimately help to better prepare local services, potentially saving lives across the country.
The SOS Insights Dashboard tool, for the first time ever, enables organisations to see an overall picture of hospital admissions coded in the SOS category.
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