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Heart Lung. 2014 Nov-Dec;43(6):546-9. doi: 10.1016/j.hrtlng.2014.05.009. Epub 2014 Jun 21.

The impact of an electronic medical record surveillance program on outcomes for patients with sepsis.

Author information

1
University of Arizona, Tucson, AZ, USA; St. Louis University School of Nursing, St. Louis, MO, USA. Electronic address: lmcree@email.arizona.edu.
2
St. Louis University School of Nursing, St. Louis, MO, USA.
3
University of Arizona, Tucson, AZ, USA.

Abstract

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.

KEYWORDS:

Electronic medical record; Mortality; Sepsis; Sepsis campaign; Sepsis surveillance

PMID:
24961633
DOI:
10.1016/j.hrtlng.2014.05.009
[Indexed for MEDLINE]

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