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Development and Implementation of Sepsis Alert Systems.

Andrew M Harrison1, Ognjen Gajic2, Brian W Pickering3

  • 1Medical Scientist Training Program, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

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|May 28, 2016
PubMed
Summary

Developing sepsis alert systems outside the intensive care unit (ICU) faces challenges. Current evidence does not support their routine use due to issues like alert fatigue and data availability.

Keywords:
Automated alert systemsCritical careHospitalIntensive care unitSepsis

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Area of Science:

  • Healthcare Informatics
  • Clinical Decision Support

Background:

  • Sepsis alert systems are difficult to implement outside intensive care units (ICUs).
  • Challenges include evolving sepsis definitions, information overload, and alert fatigue from poor performance.
  • Differences in healthcare delivery, charting, and electronic data access hinder adoption in non-ICU settings.

Purpose of the Study:

  • To analyze the challenges and barriers in developing and implementing sepsis alert systems outside the ICU.
  • To evaluate the current evidence regarding the routine use of sepsis alerts in clinical practice.

Main Methods:

  • Review of current evidence on sepsis alert systems.
  • Analysis of barriers specific to non-ICU environments.

Main Results:

  • Current evidence does not support the routine use of sepsis alert systems in clinical practice.
  • Suboptimal alert performance leads to alert fatigue and information overload.
  • Non-ICU settings face unique challenges like varied data availability and charting behaviors.

Conclusions:

  • Wider implementation of sepsis alerts outside the ICU is currently not supported by evidence.
  • Continuous improvement of system inputs (afferent) and outputs (efferent) is needed.
  • Translating theoretical benefits into measurable patient outcomes requires addressing identified barriers.