Improving sepsis management: using NEWS2 in out of hours primary care

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This is a case study of how an out of hours primary care provider in the north west sought to improve their recognition and response to patients at risk of sepsis through the use of the national early warning score (NEWS2).

Sepsis is currently a major clinical priority — it is hard for medical professionals to identify sepsis and appropriate and timely treatment is very important.

Urgent Care 24 is a primary care provider in the north west of England. Following an incident in which a young adult patient attending the out of hours primary care service died of sepsis, Urgent Care 24 realised that early identification of sepsis could have made a material difference, and that early recognition was made harder because clinicians were not routinely recording physiological observations as part of their patient assessment. 

This case study explains how the organisation carried out a quality improvement project to improve the recognition and response to patients who may be at risk of sepsis, and it shows how simple changes to practice can improve patient safety and outcomes.

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