Modified intervention components | Rationale | Mode of delivery | Delivered to | When/how often |
---|---|---|---|---|
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 |
Promotional and educational documentsa | To educate staff about the pathway and promote self-monitoring | Documents | Doctors and nurses | Ongoing |
Materials provided to aid implementationb | To make implementation more convenient | Environment changes | Resources varied between wards | Ongoing |
New intervention components | ||||
Partnership agreement contract between clinical leads in area and intervention facilitator | To engage senior staff members, highlight role model status and ensure collective commitment to implementation | Documents | Clinical lead in intervention area and nurse facilitator | Once when “Sepsis Six” is first introduced to area |
Hospital at Night Co-ordinator education | To stimulate action towards aiding staff with implementation on night shifts | Face-to-face (individual) | Hospital at Night Co-ordinators | Once |
Unmodified/original intervention components | ||||
Training (septic patient simulation) | To train staff on how to implement | Face-to-face (group) | Minority of doctors and nurses (ad hoc) | Ad hoc, approximately bi-monthly |
Data measurement 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 for 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 |