Unpacking Core Components of an Effective Sepsis Transition and Recovery Program

Health system approaches to providing posthospital care for survivors of sepsis and critical illness

“…Further, secondary analysis of sepsis survivors discharged to postacute care facilities suggested that the nurse navigator program may reduce 30-day mortality and readmission rates among patients discharged to skilled nursing facilities, a population that has traditionally been challenging to support [36 ▪ ]. Like post-ICU clinics, the optimal components of a postcritical illness nurse navigator program remain to be defined, but thematic review of navigator activities revealed that navigators provide a wide range of care including care coordination, health behavior counseling, emotional support, addressing symptoms, medication optimization, and chronic disease management [37]. Emphasizing the importance of medication management for critical illness survivors, medication errors were mitigated by navigators in 27% of patients assigned to the intervention [38].…”