“In April 2008, a 70 year old, independent lady with no previous comorbidities became a grandmother for the first time and was looking forward to watching her family grow up. She developed a cough and became breathless and presented to her local hospital. She was admitted, and developed severe sepsis and septic shock secondary to her community acquired pneumonia and died within 7 hours. Her sepsis was not recognised, and antibiotics and fluids were not given in a timely manner. The patient’s family and the well-meaning and competent medical and nursing team were devastated.”

So begins the account of a real patient story that compelled Dr Matt Inada-Kim and colleagues to tackle the problem of managing sepsis within their practice.

The film that follows, made by Murray Anderson-Wallace captures some aspects of the work they have done to address the problem using a human factors based approach. The work connects strongly with Julie’s Story , a film which documents the experience of Julie Carman who was admitted to hospital with severe infection.

Both Matt Inada-Kim and Murray Anderson-Wallace are CHFG supporters and members of our Standing Group.