LAZOMIS QISepsis Six Audit

Audit criteria

The measurable criteria used to score compliance in the Sepsis Six Audit. Each criterion is answered Yes, No, Not applicable or Unable to determine. Compliance is calculated using Yes and No responses only.

  1. 01Sepsis screening tool used within local timeframe
  2. 02NEWS2 calculated on arrival / at recognition
  3. 03Sepsis suspected and documented
  4. 04Senior clinician review within local timeframe
  5. 05Escalation to critical care outreach where indicated
  6. 06High-flow oxygen given to maintain target saturations
  7. 07Blood cultures taken before antibiotics
  8. 08Intravenous broad-spectrum antibiotics given within local target time
  9. 09Intravenous fluid resuscitation initiated where indicated
  10. 10Serum lactate measured within local timeframe
  11. 11Urine output monitored (fluid balance / catheter)
  12. 12Sepsis Six bundle completed within local target time
  13. 13Antibiotic choice complies with local guideline
  14. 14Antibiotic allergy status checked and documented
  15. 15Source of infection considered / documented
  16. 16Repeat NEWS2 / clinical review documented
  17. 17Antibiotic review at 48–72 hours (or documented plan)
  18. 18Escalation plan / treatment ceiling documented
  19. 19Patient / next-of-kin communication documented
  20. 20Sepsis pathway / bundle documented in record
  21. 21Safety concern or delay documented and reviewed
Safety prompt: Ensure any immediate sepsis, deterioration, antimicrobial, fluid, oxygen, escalation, safeguarding or critical care concern is escalated through local clinical and governance pathways. Do not rely on this audit tool for urgent escalation.