Development and Implementation of Sepsis Alert Systems

Development and implementation of sepsis alert systems is challenging, particularly outside the monitored intensive care unit (ICU) setting. Barriers to wider use of sepsis alerts include evolving clinical definitions of sepsis, information overload, and alert fatigue, due to suboptimal alert perfor...

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Bibliographic Details
Published inClinics in chest medicine Vol. 37; no. 2; p. 219
Main Authors Harrison, Andrew M, Gajic, Ognjen, Pickering, Brian W, Herasevich, Vitaly
Format Journal Article
LanguageEnglish
Published United States 01.06.2016
Subjects
Humans
Intensive Care Units - standards
Sepsis - therapy
Critical care
Sepsis
Hospital
Intensive care unit
Automated alert systems
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Summary:Development and implementation of sepsis alert systems is challenging, particularly outside the monitored intensive care unit (ICU) setting. Barriers to wider use of sepsis alerts include evolving clinical definitions of sepsis, information overload, and alert fatigue, due to suboptimal alert performance. Outside the ICU, barriers include differences in health care delivery models, charting behaviors, and availability of electronic data. Current evidence does not support routine use of sepsis alert systems in clinical practice. Continuous improvement in the afferent and efferent aspects will help translate theoretic advantages into measurable patient benefit.
ISSN:1557-8216
DOI:10.1016/j.ccm.2016.01.004