Impact of Resident-Focused Education and the Rapid Response Team on Severe Sepsis Patients: Outcomes and Compliance to Treatment Protocol
Avinesh Singh Bhar, M.D., Edison Gavilanes, M.D., Sofya Kostanyan, M.D., Rakhil Rubinova, D.O., Vladimir Sabayev, M.D. F.C.C.P.
Objective:To investigate the impact of resident-focused education and the introduction of the Rapid Response Team (RRT) on the outcomes of severe sepsis patients admitted to the general medical floor (GMF) at the New York Hospital of Queens (NYHQ). In addition we set out to identify compliance to treatment protocols, demographics and prevalence of MRSA & MDR organisms in this patient population.
Method: A retrospective study of severe sepsis patients admitted to the GMF at NYHQ with the RRT called between November 1 and December 31, 2007. Data from the RRT evaluation and medical records including demographics, serum lactate, compliance to treatment protocol (fluid resuscitation, vasopressor support and stress dose-steroid use), culture results, utilization of mechanical ventilation and 30-day mortality were recorded.
A comparison of 30-mortality was made with a cohort of severe sepsis patients prior to the resident-focused education initiative and RRT introduction.