Home » Readers Write » Currently Reading:

Readers Write: Sepsis Risk Intervention: You May Be Doing It Wrong

October 4, 2017 Readers Write No Comments

Sepsis Risk Intervention: You May Be Doing It Wrong
By Jennifer Knapp

image

Jennifer Knapp is director of strategic partnerships and solutions for Vocera of San Jose, CA.

September was Sepsis Awareness Month. Many hospitals and health systems, propelled by CMS penalties for avoidable hospital-acquired infections, have made important investments in sepsis risk intervention. But these efforts have introduced new challenges.

As nurses are put on high alert for a growing number of risk factors—including falls, drug interactions, etc.—they are struggling to attend to and prioritize all of these different alerts. For long-term success against the scourge of sepsis, the health IT industry must work to mitigate and manage the negative impact of alarm fatigue on our frontline healthcare providers.

Sepsis is an important target of hospital quality and safety programs. It is a leading cause of death in the U.S., claiming 750,000 lives annually. With $24B spent annually, it is the costliest medical condition to treat in this country. Luckily, strong evidence shows that early, tailored intervention can significantly reduce the likelihood of sepsis-related complications and death.

To this end, many hospitals have deployed EHR-based pop-up advisories to identify patients at risk for sepsis. But there are three problems:

  • Nearly half of these alerts are false-positives.
  • They get mixed in with the routine pop-ups nurses have learned to quickly click through.
  • Nurses will only see these alerts if they are working in the EHR. Since nurses can walk up to five miles a day during a 12-hour shift, they are often away from the EHR.

Sepsis rates will not fall dramatically unless risk intervention alerts are accurate, reliable, and actionable. Alerts must give nurses the right information at the right time in the right way.

The algorithm used to detect sepsis must include nursing and provider documentation, in addition to data from the EHR, to improve the precision of risk determination. Alerts should only be delivered when they provide new information to the staff or when appropriate treatment steps have not been completed. Sending only actionable alerts will significantly reduce alarm fatigue.

Move sepsis alerts out of the routine flow of EHR notifications where they are likely to get lost in the shuffle. Instead, deliver them to caregivers on mobile devices at the point of care. The bottom line is that if you don’t use a mobile alert solution, you are leaving sepsis detection to chance because caregivers may not check the EHR for long periods of time.

Don’t just tell the nurse there’s a septic patient in Room 101. Provide more detailed information about the level of his or her condition (such as severe sepsis), why the alert was triggered (for example, hypotension), and what to do next. Consider functionality that would automatically alert another group, such as the rapid response team, after the alert is accepted by the frontline nurse on duty.

Hospitals are more committed than ever to reduce sepsis rates and intervene early to save lives. Health IT solutions should support, not stymie, these efforts. Deploying the right workflows and technology, driving care team engagement, and managing performance improvement against goals are keys to a successful sepsis program. Do it right and you can significantly improve patient outcomes.

View/Print Text Only View/Print Text Only


HIStalk Featured Sponsors

     







Subscribe to Updates

Search


Loading

Text Ads


Report News and Rumors

No title

Anonymous online form
E-mail
Rumor line: 801.HIT.NEWS

Tweets

Archives

Founding Sponsors


 

Platinum Sponsors


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gold Sponsors


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reader Comments

  • Vaporware?: Secretary Shulkin: "the American healthcare system hasn’t yet figured out interoperability, but the VA can lead the wa...
  • Justa CIO: The reported go live date for McLaren Oakland is wrong. There are no dates set for activations for any locations. Post...
  • Brian Too: I admit I am partial to the quoted ICD-10-CM of "S07.9XXA Crushing injury of head, part unspecified, initial encounter....
  • Cosmos: As others in the comments section have pointed out before, GE's EMR for athletes is ironically a health record for the h...
  • HIT MD: I appreciate the thoughtful postings on this topic, particularly those by Ross Martin and LMNOP. I've never participate...
  • My Two Cents: Re: I wish we could all just get along and put the patient at the center of what we do. Yep, I get more and more disc...
  • bbc: Did you take the Hippocratic Oath in Med school? does the slightest thought of helping your patients concern you at all...
  • My Two Cents: I have a few concerns about the article Mr. Crane wrote on Drug Pricing Transparency and respectfully disagree and quest...
  • Brian Too: Aha! That makes more sense now. Thank you for clarifying....
  • So.....: Why not embed this functionality in to the patient portal and let the patient take on the leg work and the extra clicks?...

Sponsor Quick Links