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Sim-sepsis: improving sepsis treatment in the emergency department?
  1. Jeremy G Hunter1,
  2. Christopher Pritchett1,
  3. Dhruti Pandya1,
  4. Alex Cripps2,
  5. Roger Langford1
    1. 1Department of Anaesthetics, Royal Cornwall Hospitals NHS Trust, Truro, UK
    2. 2University of Exeter Medical School, Exeter, UK
    1. Correspondence to Dr Jeremy G Hunter; jghunter{at}doctors.org.uk

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    Introduction

    Sepsis is a time-critical medical emergency that is estimated to account for 37 000 deaths annually in the UK. It is an adverse systemic host response to infection that can lead to multiple organ failure and death where timely administration of specific clinical interventions reduces mortality.1 Despite internationally focused awareness campaigns and clinician-friendly bundles of care, compliance with all six steps (sepsis 6) within the first hour of admission remains poor.2 Simulation-based education (SBE) uses high-fidelity-guided patient experiences to develop learnt behaviours for unexpected critical incidents. While SBE has been shown to improve participant satisfaction and knowledge, there is limited evidence that demonstrates a change in participants’ behaviour and patient outcome. Such evidence is key as it demonstrates translation of learning into practice. Our study, assessing the effectiveness of an in-house SBE programme using the Kirkpatrick learning evaluation model3 in a cohort of emergency department (ED) physicians, indicates such a change may be achievable.

    Methods

    Using a locally written sepsis teaching programme, participants attended two didactic seminar sessions covering the fundamentals of sepsis management and human factors. Focused multiple choice and short answer pre-seminar and post-seminar assessment were completed by attendees (Kirkpatrick level …

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