Septic shock electronic surveillance

Andrew M. Harrison, John G. Park, Vitaly D Herasevich

Research output: Chapter in Book/Report/Conference proceedingChapter

4 Citations (Scopus)

Abstract

In a 2013 Healthcare Cost and Utilization Project Statistical Brief by the US Agency for Healthcare Research and Quality, septicemia was ranked as the #1 most expensive national inpatient hospital cost. This ranking comes in spite of substantial advances in the clinical management of sepsis over the past 15 years. While adherence with internationally established sepsis management protocols have demonstrated reduction in mortality and hospital/ICU length of stay, compliance with these protocols remains poor. Contributing factors may be delay in sepsis recognition and protocol implementation. A solution to this barrier is an automated sepsis detection and alert system embedded in the electronic medical record (EMR). In 2013, "alarm hazards" (e.g., excessive alarms, missed alarms, delayed alarms, etc.) was ranked as the #1 health technology hazard by the ECRI (Emergency Care Research Institute). Thus, sepsis surveillance systems must be developed and implemented in the context of alert fatigue, interruption, human error, and information overload. This chapter will describe essential elements in the electronic surveillance system development and implementation processes. Readers will learn about the critical elements of a septic shock detection algorithm and the data needed for each stage of sepsis management, such as early sepsis identification, notification of the clinicians, and tracking treatment processes. The chapter will describe the electronic components for this systems-level control of compliance with internationally established sepsis management protocols. A well-designed severe sepsis surveillance system has the potential to improve protocol compliance and patient outcomes, while reducing healthcare costs.

Original languageEnglish (US)
Title of host publicationSeptic Shock: Risk Factors, Management and Prognosis
PublisherNova Science Publishers, Inc.
Pages1-25
Number of pages25
ISBN (Print)9781634639484, 9781634639163
StatePublished - Jan 1 2015

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Septic Shock
Sepsis
Guideline Adherence
Health Care Costs
United States Agency for Healthcare Research and Quality
Biomedical Technology
Hospital Costs
Electronic Health Records
Emergency Medical Services
Hospital Mortality
Fatigue
Inpatients
Length of Stay

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Harrison, A. M., Park, J. G., & Herasevich, V. D. (2015). Septic shock electronic surveillance. In Septic Shock: Risk Factors, Management and Prognosis (pp. 1-25). Nova Science Publishers, Inc..

Septic shock electronic surveillance. / Harrison, Andrew M.; Park, John G.; Herasevich, Vitaly D.

Septic Shock: Risk Factors, Management and Prognosis. Nova Science Publishers, Inc., 2015. p. 1-25.

Research output: Chapter in Book/Report/Conference proceedingChapter

Harrison, AM, Park, JG & Herasevich, VD 2015, Septic shock electronic surveillance. in Septic Shock: Risk Factors, Management and Prognosis. Nova Science Publishers, Inc., pp. 1-25.
Harrison AM, Park JG, Herasevich VD. Septic shock electronic surveillance. In Septic Shock: Risk Factors, Management and Prognosis. Nova Science Publishers, Inc. 2015. p. 1-25
Harrison, Andrew M. ; Park, John G. ; Herasevich, Vitaly D. / Septic shock electronic surveillance. Septic Shock: Risk Factors, Management and Prognosis. Nova Science Publishers, Inc., 2015. pp. 1-25
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