The implementation of hour-1 bundle for sepsis in medical staff

VernacularTitle:医护人员执行脓毒症1 h集束化治疗管理体系的依从性研究初探
Author: Shuyuan QIAN ¹ ; Xuezhu LI ; Jie ZHOU ; Ling LIU ; Jianfeng XIE ; Yingzi HUANG ; Xiaoqing LI
Author Information

1. 东南大学附属中大医院重症医学科　江苏省重症医学重点实验室，南京210009
Keywords: Sepsis; I-hour management bundle; Compliance; Implementation management system
From: Chinese Journal of Internal Medicine 2022;61(1):104-107
CountryChina
Language:Chinese
Abstract: To determine the physicians′compliance of hour-1 bundle for sepsis. A management system of hour-1 bundle for sepsis was established. The clinical data of 286 sepsis patients were collected, who were classified into 3 months before the bundle (control group), 9 months during process (observation group) and 3 months after bundle (study group). The compliance of hour-1 bundle implementation was compared in three groups. The results showed that with the application and implementation of the management system, the compliance of hour-1 bundle for sepsis in the control group, observation group and study group was 58.3%(28/48), 69.1%(105/152) and 88.4%(76/86) respectively (χ 2=7.053, P=0.029). The 28 day mortality in sepsis patients was 41.7%(20/48), 34.9%(53/152) and 23.3%(20/86) respectively (χ 2=5.576, P=0.062).The management system of hour-1 bundle for sepsis can effectively improve the physicians′ compliance.