The Use of an Early Alert System to Improve Compliance with Sepsis Bundles and to Assess Impact on Mortality
Joint Authors
Studer, Sean
Shah, Monica
Ahmad, Noeen
DiBrienza, Roseann
Feinberg, Monica
LaRosa, Jennifer Anne
Source
Critical Care Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-26
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction.
Diagnostic and therapeutic guidelines, organized as sepsis bundles, have been shown to improve mortality, but timely and consistent implementation of these can be challenging.
Our study examined the use of a screening tool and an early alert system to improve bundle compliance and mortality.
Methods.
A screening tool was used to identify patients with severe sepsis or septic shock and an overhead alert system known as Code SMART (Sepsis Management Alert Response Team) was activated at the physician’s discretion.
Data was collected for 6 months and compliance with bundle completion and mortality were compared between the Code SMART and non-Code SMART groups.
Results.
Fifty eight patients were enrolled −34 Code SMART and 24 non-Code SMART.
The Code SMART group achieved greater compliance with timely antibiotic administration (P<0.001), lactate draw (P<0.001), and steroid use (P=0.02).
Raw survival and survival adjusted for age, leucopenia, and severity of illness scores, were greater in the Code SMART group (P<0.05, P=0.03, and P=0.01).
Conclusions.
A screening tool and an alert system can improve compliance with sepsis bundle elements and improve survival from severe sepsis and septic shock.
American Psychological Association (APA)
LaRosa, Jennifer Anne& Ahmad, Noeen& Feinberg, Monica& Shah, Monica& DiBrienza, Roseann& Studer, Sean. 2012. The Use of an Early Alert System to Improve Compliance with Sepsis Bundles and to Assess Impact on Mortality. Critical Care Research and Practice،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-513190
Modern Language Association (MLA)
LaRosa, Jennifer Anne…[et al.]. The Use of an Early Alert System to Improve Compliance with Sepsis Bundles and to Assess Impact on Mortality. Critical Care Research and Practice No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-513190
American Medical Association (AMA)
LaRosa, Jennifer Anne& Ahmad, Noeen& Feinberg, Monica& Shah, Monica& DiBrienza, Roseann& Studer, Sean. The Use of an Early Alert System to Improve Compliance with Sepsis Bundles and to Assess Impact on Mortality. Critical Care Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-513190
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-513190