2.50
Hdl Handle:
http://hdl.handle.net/10755/157071
Category:
Abstract
Type:
Presentation
Title:
Decreasing Sepsis Mortality Rates With an Early Detection Computerized Auto-alert System
Author(s):
Baker, Darlene; Oglesby, Casmen
Author Details:
Darlene Baker, Arkansas State University, Jonesboro, AR, USA, email: dbaker@astate.edu; Casmen Oglesby
Abstract:
PURPOSE: The Purpose of this study was to assess the effectiveness of an early detection computerized auto-alert monitoring system compared to a non-computerized detection system in adult hospitalized patients. The study utilized the physiological parameters advocated for early sepsis screening by the Surviving Sepsis Campaign (SSC) which research has shown decreases sepsis mortality rates. BACKGROUND: Sepsis affects approximately 750,000 people yearly with 200,000 of those patients dying, costing the United States healthcare system over $16.7 billion per year. Sepsis is the leading cause of death in non-coronary critical care units, and the 10th leading cause of death in the United States. Early detection has been proven to have positive outcomes for patients due to early intervention, which can prevent hypoperfusion and organ dysfunction. METHODS: This is a quasi experimental study utilizing a convenience sample of adult non-pregnant participants 18 years or older hospitalized within a 248 bed comprehensive metro healthcare hospital in the mid South. The participant's selection criteria were based upon the physiological parameters currently recommended by the SSC. A system was developed by the quality improvement coordinator and information technology to send an auto-alert via pager and e-mail when at least two of the criteria for suspicion of infection and at least one organ dysfunction criteria (per SSC parameters) were charted within the computerized documentation system via hospital personnel. The page is sent to the Medical Response Team (MRT) and the Patient Care Coordinator (PCC) of the medical-surgical floors. In addition, the information is e-mailed to the quality assurance coordinator and the chief medical officer. RESULTS: An independent t test was used to evaluate the data for this study. Thirty participants in the computerized auto-alert detection system study were compared with 28 participants in a previous non-computerized detection system study. The sepsis mortality was 36.7% (11 out of 30) for the computerized auto-alert detection system study compared to 50% (14 out of 28) for the non-computerized detection system study (t=.031, p=.05). A Levene's test was conducted (Sig. =.818, p>.05) proving the assumption of homogeneity of variance for the two groups. CONCLUSIONS: Based upon the analysis data, there is a significant difference in the sepsis mortality rate of patients screened using an early detection computerized auto-alert monitoring system compared to a non-computerized detection system in adult hospitalized patients involving the use of the physiological parameters advocated for early sepsis screening by the Surviving Sepsis Campaign.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDecreasing Sepsis Mortality Rates With an Early Detection Computerized Auto-alert Systemen_GB
dc.contributor.authorBaker, Darleneen_GB
dc.contributor.authorOglesby, Casmenen_GB
dc.author.detailsDarlene Baker, Arkansas State University, Jonesboro, AR, USA, email: dbaker@astate.edu; Casmen Oglesbyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157071-
dc.description.abstractPURPOSE: The Purpose of this study was to assess the effectiveness of an early detection computerized auto-alert monitoring system compared to a non-computerized detection system in adult hospitalized patients. The study utilized the physiological parameters advocated for early sepsis screening by the Surviving Sepsis Campaign (SSC) which research has shown decreases sepsis mortality rates. BACKGROUND: Sepsis affects approximately 750,000 people yearly with 200,000 of those patients dying, costing the United States healthcare system over $16.7 billion per year. Sepsis is the leading cause of death in non-coronary critical care units, and the 10th leading cause of death in the United States. Early detection has been proven to have positive outcomes for patients due to early intervention, which can prevent hypoperfusion and organ dysfunction. METHODS: This is a quasi experimental study utilizing a convenience sample of adult non-pregnant participants 18 years or older hospitalized within a 248 bed comprehensive metro healthcare hospital in the mid South. The participant's selection criteria were based upon the physiological parameters currently recommended by the SSC. A system was developed by the quality improvement coordinator and information technology to send an auto-alert via pager and e-mail when at least two of the criteria for suspicion of infection and at least one organ dysfunction criteria (per SSC parameters) were charted within the computerized documentation system via hospital personnel. The page is sent to the Medical Response Team (MRT) and the Patient Care Coordinator (PCC) of the medical-surgical floors. In addition, the information is e-mailed to the quality assurance coordinator and the chief medical officer. RESULTS: An independent t test was used to evaluate the data for this study. Thirty participants in the computerized auto-alert detection system study were compared with 28 participants in a previous non-computerized detection system study. The sepsis mortality was 36.7% (11 out of 30) for the computerized auto-alert detection system study compared to 50% (14 out of 28) for the non-computerized detection system study (t=.031, p=.05). A Levene's test was conducted (Sig. =.818, p>.05) proving the assumption of homogeneity of variance for the two groups. CONCLUSIONS: Based upon the analysis data, there is a significant difference in the sepsis mortality rate of patients screened using an early detection computerized auto-alert monitoring system compared to a non-computerized detection system in adult hospitalized patients involving the use of the physiological parameters advocated for early sepsis screening by the Surviving Sepsis Campaign.en_GB
dc.date.available2011-10-26T19:23:43Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:23:43Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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