Delivering all elements of Sepsis Six
within one hour of identification sets a significant
challenge in busy clinical areas.
Similar to the “golden hour” described in
good trauma, stroke or heart-attack care,
teams need to coordinate roles and responsibilities
so all elements of care are completed
efficiently (Nguyen and Smith,
2006). The team lead should be responsible
for the timeliness of interventions, clarifying
roles and creating a plan of care,
whether for referral, escalation or even
end-of-life. Organisations have
approached the work differently: some
have created sepsis teams, others sepsis
coordinators, or use tools that make reliable
identification and treatment easier
across all teams.