Reducing Sepsis Mortality: A Cloud-Based Alert Approach

The aim of this study is to examine the impact of a cloud-based CDS alerting system for SIRS, a precursor to sepsis, and sepsis itself, on adult patient and process outcomes at VCU Health System. The two main hypotheses are: 1) the implementation of cloud-based SIRS and sepsis alerts will lead to lo...

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Main Author: Zink, Janet A.
Format: Others
Published: VCU Scholars Compass 2018
Subjects:
Online Access:https://scholarscompass.vcu.edu/etd/5697
https://scholarscompass.vcu.edu/cgi/viewcontent.cgi?article=6786&context=etd
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spelling ndltd-vcu.edu-oai-scholarscompass.vcu.edu-etd-67862019-10-20T22:07:20Z Reducing Sepsis Mortality: A Cloud-Based Alert Approach Zink, Janet A. The aim of this study is to examine the impact of a cloud-based CDS alerting system for SIRS, a precursor to sepsis, and sepsis itself, on adult patient and process outcomes at VCU Health System. The two main hypotheses are: 1) the implementation of cloud-based SIRS and sepsis alerts will lead to lower sepsis-related mortality and lower average length of stay, and 2) the implementation of cloud-based SIRS and sepsis alerts will lead to more frequent ordering of the Sepsis PowerPlan and more recording of sepsis diagnoses. To measure these outcomes, a pre-post study was conducted. A pre-implementation group diagnosed with sepsis within the year leading up to the alert intervention consisted of 1,551 unique inpatient visits, and the three-year post-implementation sample size was 9,711 visits, for a total cohort of 11,262 visits. Logistic regression and multiple linear regression were used to test the hypotheses. Study results showed that sepsis-related mortality was slightly higher after the implementation of SIRS alerts, but the presence of sepsis alerts did not have a significant relationship to mortality. The average length of stay and the total number of recorded sepsis diagnoses were higher after the implementation of both SIRS and sepsis alerts, while ordering of the Sepsis Initial Resuscitation PowerPlan was lower. There is preliminary evidence from this study that more sepsis diagnoses are made as a result of alert adoption, suggesting that clinicians can consider the implementation of these alerts in order to capture a higher number of sepsis diagnoses. 2018-01-01T08:00:00Z text application/pdf https://scholarscompass.vcu.edu/etd/5697 https://scholarscompass.vcu.edu/cgi/viewcontent.cgi?article=6786&context=etd ©Janet A. Zink Theses and Dissertations VCU Scholars Compass sepsis SIRS clinical informatics clinical decision support biomedical informatics sepsis-related mortality Health and Medical Administration Health Information Technology Management Information Systems Translational Medical Research
collection NDLTD
format Others
sources NDLTD
topic sepsis
SIRS
clinical informatics
clinical decision support
biomedical informatics
sepsis-related mortality
Health and Medical Administration
Health Information Technology
Management Information Systems
Translational Medical Research
spellingShingle sepsis
SIRS
clinical informatics
clinical decision support
biomedical informatics
sepsis-related mortality
Health and Medical Administration
Health Information Technology
Management Information Systems
Translational Medical Research
Zink, Janet A.
Reducing Sepsis Mortality: A Cloud-Based Alert Approach
description The aim of this study is to examine the impact of a cloud-based CDS alerting system for SIRS, a precursor to sepsis, and sepsis itself, on adult patient and process outcomes at VCU Health System. The two main hypotheses are: 1) the implementation of cloud-based SIRS and sepsis alerts will lead to lower sepsis-related mortality and lower average length of stay, and 2) the implementation of cloud-based SIRS and sepsis alerts will lead to more frequent ordering of the Sepsis PowerPlan and more recording of sepsis diagnoses. To measure these outcomes, a pre-post study was conducted. A pre-implementation group diagnosed with sepsis within the year leading up to the alert intervention consisted of 1,551 unique inpatient visits, and the three-year post-implementation sample size was 9,711 visits, for a total cohort of 11,262 visits. Logistic regression and multiple linear regression were used to test the hypotheses. Study results showed that sepsis-related mortality was slightly higher after the implementation of SIRS alerts, but the presence of sepsis alerts did not have a significant relationship to mortality. The average length of stay and the total number of recorded sepsis diagnoses were higher after the implementation of both SIRS and sepsis alerts, while ordering of the Sepsis Initial Resuscitation PowerPlan was lower. There is preliminary evidence from this study that more sepsis diagnoses are made as a result of alert adoption, suggesting that clinicians can consider the implementation of these alerts in order to capture a higher number of sepsis diagnoses.
author Zink, Janet A.
author_facet Zink, Janet A.
author_sort Zink, Janet A.
title Reducing Sepsis Mortality: A Cloud-Based Alert Approach
title_short Reducing Sepsis Mortality: A Cloud-Based Alert Approach
title_full Reducing Sepsis Mortality: A Cloud-Based Alert Approach
title_fullStr Reducing Sepsis Mortality: A Cloud-Based Alert Approach
title_full_unstemmed Reducing Sepsis Mortality: A Cloud-Based Alert Approach
title_sort reducing sepsis mortality: a cloud-based alert approach
publisher VCU Scholars Compass
publishDate 2018
url https://scholarscompass.vcu.edu/etd/5697
https://scholarscompass.vcu.edu/cgi/viewcontent.cgi?article=6786&context=etd
work_keys_str_mv AT zinkjaneta reducingsepsismortalityacloudbasedalertapproach
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