Regions Hospital in St. Paul, Minn., which has one of the lowest sepsis mortality rates, is implementing a new rapid intervention program to further increase the number of lives saved. Sepsis is a serious infection that can quickly become life-threatening. Among the top 10 leading causes of death in the U.S., an estimated 30 percent to 50 percent of patients with severe sepsis die.
Regions Hospital has been implementing initiatives since 2005 to prevent death from sepsis as part of the Institute for Healthcare Improvements Five Million Lives Campaign. As a result, the number of deaths from sepsis has decreased by more than 60 percent; falling from 33 percent to 12 percent.
Hospitals can save more lives if we have the same sense of urgency to identify and treat patients with sepsis as we do with patients who have heart attacks or traumatic injuries, says HealthPartners physician Dr. Richard Mahr, who is the medical director for quality and safety at Regions.
Regions implemented a pilot program in the Emergency Department last November because about 70 percent of patients with sepsis are admitted through the ER. Sepsis is difficult to diagnose in early stages because of non-specific signs like fast pulse or rapid breathing. For some illnesses, rapid intervention is not as critical and treatment can safely begin after a patient is admitted. Patients with sepsis should begin receiving antibiotics within three hours or less, often before they can be admitted.
The rapid intervention program provides sepsis alerts in the electronic medical record if two or more vital signs are abnormal. Automatic order sets provide the most up-to-date evidence-based guidelines which include administering the following steps within six hours of diagnosis of severe sepsis:
Test lactate levels
Obtain blood cultures
Administer antibiotics within three hours of ER admission
Administer fluids
If the patient is in septic shock, deliver intravenous medications to improve circulation
Regions' rapid intervention program is based on guidelines developed by the Surviving Sepsis Campaign; an international coalition to reduce deaths from severe sepsis or septic shock by 25 percent.
The Next Frontier in Infection Control: AI-Driven Operating Rooms
Published: July 15th 2025 | Updated: July 15th 2025Discover how AI-powered sensors, smart surveillance, and advanced analytics are revolutionizing infection prevention in the OR. Herman DeBoard, PhD, discusses how these technologies safeguard sterile fields, reduce SSIs, and help hospitals balance operational efficiency with patient safety.
Targeting Uncertainty: Why Pregnancy May Be the Best Time to Build Vaccine Confidence
July 15th 2025New national survey data reveal high uncertainty among pregnant individuals—especially first-time parents—about vaccinating their future children, underscoring the value of proactive engagement to strengthen infection prevention.
CDC Urges Vigilance: New Recommendations for Monitoring and Testing H5N1 Exposures
July 11th 2025With avian influenza A(H5N1) infections surfacing in both animals and humans, the CDC has issued updated guidance calling for aggressive monitoring and targeted testing to contain the virus and protect public health.
IP LifeLine: Layoffs and the Evolving Job Market Landscape for Infection Preventionists
July 11th 2025Infection preventionists, once hailed as indispensable during the pandemic, now face a sobering reality: budget pressures, hiring freezes, and layoffs are reshaping the field, leaving many IPs worried about their future and questioning their value within health care organizations.