Table 1 Sepsis Six intervention summary based on TIDieR, delivered by Patient Safety Facilitator

Sepsis Six introductory education sessions including target setting of 95 % implementation

To familiarise staff with the bundle and generate enthusiasm

Face-to-face (group)

Doctors and nurses

Once when Sepsis Six is first introduced and once at each new/junior staff induction to the ward

Training (septic patient simulation) n.b. co-delivered by specialist simulation trainer and Patient Safety Facilitator

To train staff on how to implement

Face-to-face (group)

Minority of doctors and nurses (ad hoc)

Ad hoc, approximately bi-monthly

Promotional and educational documents^a

To educate staff about the pathway and promote self-monitoring

Documents

Doctors and nurses

Ongoing

Materials provided to aid implementation^b

To make implementation more convenient

Environment changes

Resources varied between wards

Ongoing

Audit and group feedback - daily implementation rates displayed in staff break area and verbal feedback given

To focus staff on targets and progress

Rates displayed, feedback delivered face-to-face (group)

All available doctors and nurses (majority nurses) on shift

Rates displayed daily, weekly or bi-weekly feedback sessions

Individual personalised feedback to staff involved in incidents when bundle was not fully implemented

To target specific incidents of non-compliance

Face-to-face (group)

Staff involved in incidents where bundle was not correctly or fully implemented

Ad hoc, ~2 staff per week