Computerised sepsis protocol management. Description of an early warning system

Area of Science:

• Medical Informatics
• Infectious Diseases
• Healthcare Management

Background:

• Sepsis management requires early recognition and rapid response.
• New strategies are needed to optimize sepsis care pathways.
• The Multidisciplinary Sepsis Team (MST) developed the Computerised Sepsis Protocol Management (PIMIS) system.

Purpose of the Study:

• To evaluate the convenience and usability of the PIMIS software.
• To assess the activity and impact of the Multidisciplinary Sepsis Team (MST).

Main Methods:

• Analysis of data from solicited and unsolicited MST consultations.
• Data included activation source, hospital department, infection source, and treatment recommendations.
• Evaluation of physician acceptance of treatment recommendations.

Main Results:

• 65.1% of 1,581 consultations were solicited, primarily through PIMIS activation.
• Unsolicited consultations were mainly from the microbiology laboratory.
• Physicians accepted 78.1% of recommended antimicrobial prescription changes.

Conclusions:

• The high rate of solicited consultations suggests PIMIS is a valuable tool.
• Physician acceptance of recommendations highlights the MST's role as a helpful resource.
• PIMIS is perceived as useful and convenient, facilitating MST referrals.