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Barriers and facilitators to optimal sepsis care – a systematized review of healthcare professionals’ perspectives

Title: Barriers and facilitators to optimal sepsis care – a systematized review of healthcare professionals’ perspectives
Authors: Lea Draeger; Carolin Fleischmann-Struzek; Sabine Gehrke-Beck; Christoph Heintze; Daniel O. Thomas-Rueddel; Konrad Schmidt
Source: BMC Health Services Research, Vol 25, Iss 1, Pp 1-14 (2025)
Publisher Information: BMC
Publication Year: 2025
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: Sepsis; Septic shock; Healthcare providers’ perspective; Care processes; Barriers to optimal care; Public aspects of medicine; RA1-1270
Description: Background Despite therapeutic advances, sepsis remains a global burden. Shortcomings within the healthcare system that inflate morbidity and mortality rates are instructive in this regard. This review aims to provide a qualitative synthesis of literature related to healthcare providers’ perspectives on sepsis care, emphasizing perceived factors that impact the adequate care of septic patients and sepsis survivors. Methods In February 2023, we conducted a systematized search approach using the PubMed database. Results Of 114 articles found in the PubMed database, 37 were included. A further 13 articles were identified by manual search. Healthcare providers highlighted a variety of dysfunctional and functional processes with an impact on sepsis care. Six domains were identified, related to the underlying disease, the patient, the provider, the guidelines, the healthcare system, and the collaboration among providers. Of note, providers’ level of knowledge and a lack of communication between disciplines and/or sectors were reported as shortcomings in each phase of the care pathway (prevention, recognition, treatment, transitions of care, and aftercare). Conclusions This review suggests that, without limitation, interventions that provide continuous provider education as well as standard communication channels between interdisciplinary and intersectoral providers have great potential to improve structural deficiencies in sepsis care. Graphical Abstract
Document Type: article in journal/newspaper
Language: English
Relation: https://doi.org/10.1186/s12913-025-12777-8; https://doaj.org/toc/1472-6963; https://doaj.org/article/62539c2f241a42deb62cce7e2a0c306d
DOI: 10.1186/s12913-025-12777-8
Availability: https://doi.org/10.1186/s12913-025-12777-8; https://doaj.org/article/62539c2f241a42deb62cce7e2a0c306d
Accession Number: edsbas.1BB8D5E
Database: BASE