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A questionnaire was provided, including clinical vignettes and free text answers, to assess and evaluate the ability of resident physicians to identify systemic inflammatory response syndrome (SIRS), sepsis, and severe sepsis. Questionnaire scores were compared between specialties. A whole-hospital educational campaign was provided with the aim to improve sepsis recognition, and the questionnaire survey was repeated after one year to assess the effect of the education on the recognition of sepsis.
Sepsis is the number one cause of mortality in US hospitals. An aim of this study was to evaluate the ability of resident physicians with different training backgrounds to recognize SIRS, sepsis, and severe sepsis. A survey assessment of the definition of SIRS, sepsis, and severe sepsis was administered to internal medicine, emergency room, orthopedic, neurosurgery, and general surgery residents. Then, an intensive educational campaign designed to improve recognition of the patient with sepsis was launched. For approximately 1 year, posters with this educational information were displayed in the hospital, one-on-one educational sessions were provided to residents, and didactic sessions focusing on sepsis were conducted. The survey was then redesigned and administered it to the same groups as described previously.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Internal Medicine Residents | Other | Sepsis education provided to internal medicine residents |
|
| Emergency Medicine Residents | Other | Sepsis education provided to emergency medicine residents |
|
| Orthopedic Residents | Other | Sepsis education provided to orthopedic residents |
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| Neurosurgery Residents | Other | Sepsis education provided to neurosurgery residents |
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| General Surgery Residents | Other | Sepsis education provided to general surgery residents |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sepsis Education | Other | Education provided to hospital residents for the recognition and treatment of systemic inflammatory response syndrome (SIRS), sepsis and severe sepsis |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in sepsis recognition and treatment survey score | Questionnaire scores assessing sepsis recognition and treatment at baseline compared to a similar survey following one year of whole-hospital educational campaign, across groups of residents of different training backgrounds | Baseline and 1 Year |
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Inclusion Criteria:
Resident physician in an University of Utah training program
Exclusion Criteria:
Not willing to participate
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| Name | Affiliation | Role |
|---|---|---|
| Devin J Horton, MD | University of Utah | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15566585 | Background | Poeze M, Ramsay G, Gerlach H, Rubulotta F, Levy M. An international sepsis survey: a study of doctors' knowledge and perception about sepsis. Crit Care. 2004 Dec;8(6):R409-13. doi: 10.1186/cc2959. Epub 2004 Oct 14. | |
| 20646902 | Result | Assuncao M, Akamine N, Cardoso GS, Mello PV, Teles JM, Nunes AL, Maia MO, Rea-Neto A, Machado FR; SEPSES Study Group. Survey on physicians' knowledge of sepsis: do they recognize it promptly? J Crit Care. 2010 Dec;25(4):545-52. doi: 10.1016/j.jcrc.2010.03.012. Epub 2010 Jun 19. |
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If requested, will share with other authors or institutions
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D018746 | Systemic Inflammatory Response Syndrome |
| ID | Term |
|---|---|
| D007239 | Infections |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| D012769 | Shock |