Clinician Perception of the Effectiveness of an Automated Early Warning and Response System for Sepsis in an Academic Medical Center

• DOI: 10.1513/annalsats.201503-129oc
• Publication Date: 2015-08-19T14:09:54Z
• Authors: Jessica L. Guidi; Katherine Clark; Mark T. Upton; Hilary Faust; Craig A. Umscheid; Meghan B. Lane-Fall; Mark E. Mikkelsen; William D. Schwei...; Christine A. Vanz...; Joel Betesh; Gordon Tait; Asaf Hanish; Kirsten Smith; Denise Feeley; Barry D. Fuchs
• Keywords: Rapid response team

We implemented an electronic early warning and response system (EWRS) to improve detection of severe sepsis. Sustainability such a requires stakeholder acceptance. hypothesized that clinicians receiving alerts perceive them be useful effective.To survey after EWRS notification about perceptions the system.For 6-week study period 1 month implementation in large tertiary referral medical center, bedside clinicians, including providers (physicians, advanced practice providers) registered nurses (RNs), were surveyed confidentially within 2 hours alert.For 247 triggered, 127 (51%) 105 RNs (43%) completed survey. Clinicians perceived most patients as stable before alert. Approximately half (39% providers, 48% RNs) felt alert provided new information, (44% 56% reported changes management result alert, closer monitoring additional interventions. Over (54% 65% was appropriately timed. one-third found helpful (33% 40% fewer it improved patient care (24% 35% RNs).A minority responders useful, likely related perception identified stable. However, altered time These results suggest further improvements are needed enhance clinician system's utility.