Medical Education for Sepsis Source Control and Antibiotics
NCT01187134 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 4138
Last updated 2017-08-09
Summary
Patients with severe sepsis or septic shock suffer from life-threatening infections. Fast and adequate therapy with antibiotics is crucial for survival. Current guidelines recommend the application of broad-spectrum antibiotics within 1 hour after diagnosis. However, recent studies showed that such treatment is delayed for several hours.
In this study, medical staff of participating hospitals is trained to achieve a duration until antimicrobial therapy of less than 1 hour. Tools of change management are used. The data are compared to a control group (hospitals without intervention).
It is hypothesized that a multifaceted educational program decreases duration until antimicrobial therapy and improves survival.
Conditions
- Sepsis
- Shock, Septic
Interventions
- BEHAVIORAL
-
Change Management
Hospitals have to create local change teams which are supported and trained by the study center. Local awareness of the staff is increased by PowerPoint presentations, posters, and brochures. The change teams receive monthly information about their quality indicator (duration until antimicrobial therapy). Anonymous comparison to other hospitals is possible (Benchmarking). Hospitals are visited three times a year to discuss progress of quality. In case of failure to improve, the change team is supported with specific tools for change management such as SWOT-analysis or resistance radar.
Sponsors & Collaborators
-
Center for Sepsis Control and Care, Germany
lead OTHER
Principal Investigators
-
Reinhart Konrad, MD · Jena University Hospital, Germany
-
Frank Bloos, MD, Ph.D. · Jena University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-07-31
- Primary Completion
- 2013-06-30
- Completion
- 2013-07-31
Countries
- Germany
Study Locations
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