• Run by Birmingham Children's Hospital.
  • Targeting clinicians managing new cases of sepsis in the paediatric intensive care unit.
  • Aiming to improve early sepsis management and antimicrobial stewardship by influencing clinicians' behaviour and ensuring appropriate antibiotic prescribing, management and review.
  • Using two novel interventions to positively reinforce, and share learning from, good practice in order to generate change and promote further good practice.
  •  This project will run from January 2017 to April 2018.

Sepsis is a leading cause of death in children. It is an abnormal response to infection that needs to be recognised early and treated promptly with the correct antibiotic.

Antibiotic stewardship refers to the processes of ensuring that antibiotics are used safely and appropriately in order to reduce the rise in antibiotic resistance. This involves selecting the correct antibiotic at the start of treatment and de-escalating treatment as soon as possible.

This project from Birmingham Children's Hospital aims to improve early sepsis management and antimicrobial stewardship in paediatric intensive care patients. It will involve using two novel interventions to influence the behaviour of clinicians managing new cases of sepsis in the hospital's paediatric intensive care unit.

The first intervention is positive reporting, which will identify and report good practice via a recently developed 'excellence reporting' system. This provides direct, formal, positive feedback to the individual (or team) involved in good practice, acting as a form of positive reinforcement and promoting further good practice.

The second intervention is a modified form of 'appreciative inquiry' – an established, positive approach to bringing about change. This will involve the project team conducting rapid (10–15-minute) interviews with selected clinicians who have achieved success. New insights gained from these interviews will be shared to generate changes that will promote success across the wider team.

It is hoped that this project will result in measurable changes in clinician's practice and significant improvements in antibiotic prescribing, management and review for paediatric intensive care patients with sepsis.