In the first hour following the onset of septic shock, every minute of delay in the administration of antibiotics results in a measurable 7.6% increase in mortality. In high-stakes emergency medicine, "sepsis" is not just a diagnosis; it is a race against time where the only acceptable outcome is absolute adherence to the Sepsis Six Bundle.

The Philosophy of Rapid Intervention

The "Sepsis Six Audit" is designed for clinical governance teams and senior consultants who understand that patient survival is built on a foundation of documented speed. It move the sepsis pathway from a general guideline to a structured, timestamped sequence of actions. By standardizing the capture of the First Presentation Sepsis - Date/Time and the specific Time diagnosed SEPSIS, the system creates an irrefutable chronological map of institutional response. It acknowledges that in critical care, the "reason" for a delay is as important as the delay itself for identifying systematic bottlenecks in the A&E or Surg specialties.

The Blueprint: The Sepsis Six Checklist

The structure of this library handles the high-resolution tracking of the six life-saving interventions required within the first hour of diagnosis.

  • Diagnostic Integrity: Dedicated fields for Blood Cultures, ABG, and Lactate levels verify that the physiological baseline was established before or during resuscitation.
  • Therapeutic Execution: Binary fields for Antibiotics, High Flow O2, and Fluid Challenge ensure that the core interventions were performed. The system captures not just the "Yes/No," but the precise time and reason for each step, providing the data required for root-cause analysis of omissions.
  • Pathway Monitoring: Tracking whether the Sepsis Six Box was physically deployed and the Sepsis Pathway Used confirms that the department’s specialized hardware and software assets were correctly engaged.

Monitoring the Critical Window

Beyond the first hour, the template manages the critical 6-hour observation period. Fields for Hourly Obs recorded: 6hrs and Hourly Urine recorded: 6hrs provide a high-frequency map of the patient’s initial recovery. The capture of the Time of Senior review and the final Outcome ITU/Ward allows for the analysis of escalation protocols. Was the patient moved to the ITU fast enough? Was the Initial Diagnosis like CAP (Community-Acquired Pneumonia) or Neutropenia correctly identified at the Time of Medics review?

Power Feature: Automated Compliance Reporting

By utilize Memento’s powerful filtering and grouping features, you can instantly visualize your department’s compliance with the Sepsis Six protocol. You don't need to manually tally charts; you simply filter for "Discharge Alive/Dead" to see the correlation between protocol speed and patient survival. It transforms a collection of critical care logs into a professional strategic engine for clinical excellence, ensuring that the "Golden Hour" is not just a goal, but a documented institutional reality.