Hospital of Sabadell

Sepsim

Introduction


Severe sepsis has a high incidence, hospital mortality, and significant care costs. In recent years, different strategies have not led to the expected reduction in morbidity and mortality, although some educational actions reduce it, such as those carried out on early antibiotic therapy.

Simulation-based medical education (EMBS) is a teaching tool that is based on the development of scenarios similar to real ones. It has a positive impact on the training of health professionals (PS), improving the quality of the care process and reducing complications. It also improves the institutional and PS image and reduces care costs.

Microsimulation is a modality of EMBS obtained from new visual and interactive computer technologies, which allows the training and continuous evaluation of PS beyond the pilot study.

The team of the Simulation-Based Medical Education Center (CEMBS) of Parc Tauli University Hospital has obtained a CIR 2012 grant for the development of this microsimulation software:

Simulation-Based Medical Education as an Innovative Method to Improve the Care Process in Septic Patients. Impact of microsimulation. Pilot study.

Targets

 

  • General: Improvement of the care process through the application of EMBS.
     
  • Specific:
    • Improving diagnosis and treatment.
    • Compliance with healthcare quality indicators.
    • Facilitate the training, updating and evaluation process.
    • Generate innovation in health education.
    • Promote reduction of care and teaching costs.

Description of the project


We have designed a microsimulation application in which the subject has to solve a case of sepsis and it will be scored.

It is an educational software based on microsimulation, in "serious game" format, which includes an educational action with scenarios linked to severe sepsis and septic shock, which will be reinforced:

  • Early detection of sepsis (concept of sepsis code)
  • Early treatment of the infectious focus.
  • Early hemodynamic management.
  • Protective mechanical ventilation.


It will adapt to different clinical situations considering different infectious foci applying clinical and imaging diagnostic criteria, presence of organic failure, and its treatments according to the septic patient management guidelines (adjusted to the next update).

Material and method


The health staff of the Parc Tauli University Hospital will participate in an intervention:

The educational intervention consists of the application of the scenarios, evaluating the degree of compliance with the variables indicated in the action guidelines in sepsis by means of a check-list of the “bundles” of the Sepsis Surviving Campaign.
 

  • Direct impact: improvement of the care process and acquisition of knowledge.

The population is made up of doctors and nurses with a work profile that involves contact with the septic patient, unifying action criteria based on international guidelines for action in sepsis and complying with quality indicators.
 

  • Stages to follow:
    • Stratification of the population of health workers.
    • Application of scenarios as educational action and evaluation of T0.
    •  Application of scenarios as educational action and evaluation of T1.
    • Data analysis.
    • Results
       
  • Mediated impact: With the fulfillment of objectives of this project, in a deferred way, an analysis of cost reduction and mortality can be made.
     
  • Statistical analysis

The PS population assessed at “T0” and “T1” will be the same