Table 3 Modified Sepsis Six intervention summary based on Template for Intervention Development and Replication (TIDier)

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 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

 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

 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