TY - JOUR
T1 - The impact of an electronic medical record surveillance program on outcomes for patients with sepsis
AU - McRee, Laura
AU - Thanavaro, Joanne L.
AU - Moore, Karen
AU - Goldsmith, Melissa
AU - Pasvogel, Alice
N1 - Publisher Copyright:
© 2014 Elsevier Inc..
PY - 2014
Y1 - 2014
N2 - Objectives: To evaluate the effects of this EMR surveillance on sepsis, severe sepsis or septic shock outcomes in patients admitted to a medical telemetry unit, including length of hospital stay, patient discharge and mortality. Methods: A retrospective review of pre- and post-implementation of a pilot electronic medical record (EMR) sepsis surveillance. Results: Implementing EMR sepsis surveillance significantly improved home discharge (49.0% versus 25.3%, p<.05) and reduced hospital mortality (1.0% versus 9.3%, p<.05). Although there was no difference in the length of hospital stay for the whole group, patients in the surveillance group who triggered an alert on the EMR surveillance had a decreased length of hospital stay compared to those without an alert (7.2±4.2 versus 11.6±9.4 days, p<.05). Conclusion: These results offer promising evidence that the use of an EMR sepsis surveillance alert could decrease the ravishing effects of sepsis, severe sepsis and septic shock by early identification and treatment.
AB - Objectives: To evaluate the effects of this EMR surveillance on sepsis, severe sepsis or septic shock outcomes in patients admitted to a medical telemetry unit, including length of hospital stay, patient discharge and mortality. Methods: A retrospective review of pre- and post-implementation of a pilot electronic medical record (EMR) sepsis surveillance. Results: Implementing EMR sepsis surveillance significantly improved home discharge (49.0% versus 25.3%, p<.05) and reduced hospital mortality (1.0% versus 9.3%, p<.05). Although there was no difference in the length of hospital stay for the whole group, patients in the surveillance group who triggered an alert on the EMR surveillance had a decreased length of hospital stay compared to those without an alert (7.2±4.2 versus 11.6±9.4 days, p<.05). Conclusion: These results offer promising evidence that the use of an EMR sepsis surveillance alert could decrease the ravishing effects of sepsis, severe sepsis and septic shock by early identification and treatment.
KW - Electronic medical record
KW - Mortality
KW - Sepsis
KW - Sepsis campaign
KW - Sepsis surveillance
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U2 - 10.1016/j.hrtlng.2014.05.009
DO - 10.1016/j.hrtlng.2014.05.009
M3 - Article
C2 - 24961633
AN - SCOPUS:84927570405
VL - 43
SP - 546
EP - 549
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
SN - 0147-9563
IS - 6
ER -