Hello, 

Our hospital has found that using SIRS triggers alone leads to so many alerts 
with such low sensitivity that it was felt the alert wouldn't be meaningful to 
nurses.  Instead, they created a formula based on actual data from coded septic 
patients.  The formula takes into account some of the shared traits that the 
coded patients had in common.  It weights components differently and then comes 
up with a score.  When the score is high enough, and the patient has at least 2 
SIRS criteria than an alert will trigger to the nurse who then has to decide if 
he/she is concerned about sepsis.  If the nurse is concerned and answers "Yes" 
a page is automatically sent to the provider assigned to the patient and the 
hope is that the provider, pt nurse, and charge nurse huddle at the bedside to 
determine if sepsis care is warranted.  Currently, we are in version one of the 
alerts, and the false alarms greatly outnumber the times where there is a real 
concern. However, by looking at data and making adjustments to the formula, we 
hope that we can improve the alert performance and help decrease alarm fatigue. 
It is a large IT burden. 

More facts: 

I do not know what the formula is; it is extremely technical. I do know that 
things like the presence of a CVAD,  positive respiratory cultures or bone 
marrow recipients are included in the formula and carry different scores 
according to their risks. 
We only use these on acute care units at this point.  The alerts will only fire 
as frequently as every 12hrs, so even if the vitals or SIRS change 6 hrs after 
the nurse said "no" no alert will fire until a total of 12hrs has gone by and 
the alert components are still present.  We do not have outcomes yet. 

As for your ideas here is my advice: Have some sort of way to see if the 
providers have already been paged about the same symptoms and teach nurses to 
evaluate if treatment has already been started. Both of those will help to 
decrease the number of provider pages. 

Good luck! 

Carrie Hayes MHA RN| Sepsis Coordinator 
Center for Clinical Excellence
University of Washington Medical Center
Mailbox 356033
Voice:206.598.3818

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Sent: Friday, November 17, 2017, 6:32 AM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 269, Issue 2

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Today's Topics:

   1. Re: Sepsis Best Practice Alerts (Orth, Claudia)


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Message: 1
Date: Wed, 15 Nov 2017 20:50:22 +0000
From: "Orth, Claudia" <[email protected]>
To: jenny clarke <[email protected]>, Tara Miller
        <[email protected]>
Cc: "[email protected]"
        <[email protected]>
Subject: Re: [Sepsis Groups] Sepsis Best Practice Alerts
Message-ID:
        <b482f481b7b4d745be676ceff55ec9406f67e...@mmc-exchmbs03.ad.mhc.net>
Content-Type: text/plain; charset="utf-8"

Would you be able to share what criteria is used to fire the Best Practice 
Alert (BPA). We currently have 2 alerts that fire: 1 for SIRS and 1 for SIRS 
PLUS organ dysfunction. We are thinking of blending the 2 together to perhaps 
give them a bit more sensitivity and specificity thereby decreasing some of the 
confusion and  ?alert fatigue? we are experiencing.

I am desperately seeking input and feedback on how other institutions have 
addressed this?i.e. what criteria triggers and alert, what is the response, is 
the alert sent out as a page or an open chart alert, etc. There is still 
reluctance to have ?alerts? go to providers so nursing currently carries the 
full burden of these.

Our thought is to have an alert fire to nursing that would require a call to 
the provider if the following is present. Please feel free to critique and 
advise:

3/6 of the below criteria is present = EARLY WARNING ALERT FIRES

1.       HR > 90

2.       RR>20

3.       Temp >38.5 or <36.0

4.       WBC >12,000 or <4,000 or Bands >10%

5.       Altered Level of Consciousness

6.       SBP <90
?Nurses order STAT Lactate level  & the notify the Provider who needs to assess 
the patient and document why sepsis is being r/o or begin sepsis orders ? 3 
hour bundle. This will also offload the current burden of nursing needing to 
decipher whether or not infection is present or should be suspected.

*? Blends Sepsis 2 and Sepsis 3 definitions and streamlines/simplifies expected 
standard of care/roles & responsibilities. Similar to a Modified Early Warning 
Score?

Thank you in advance for your much valued time, expertise, and anything you may 
be willing and able to share!

Sincerely,
Claudia
Claudia Orth BSN, RN , CCRN-K
Regional Sepsis Coordinator
Clinical Quality
Munson Medical Center
Traverse City, Michigan
231-935-5692
[email protected]<mailto:[email protected]>




From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of jenny clarke
Sent: Monday, November 06, 2017 3:25 PM
To: Tara Miller <[email protected]>
Cc: [email protected]
Subject: Re: [Sepsis Groups] Sepsis Best Practice Alerts

We set it up to not fire again once cleared by the nurse. But it will still 
fire for Dr and residents. Then ever 8 hours it reset. But I will say I am not 
sure it is helping.  We did add GCS score to take into account neuro status. 
But it is still very hard to get nurses on floor to enter that with all vital 
signs.  Still a struggle!!
Sent from my iPhone

On Nov 6, 2017, at 1:42 PM, Tara Miller 
<[email protected]<mailto:[email protected]>> wrote:
We use EPIC as our EMR. We currently are using best practice alerts to fire off 
to the nursing staff when a patient meets SIRS criteria and then we have the 
nurse assess the patient and review the record for possible source of infection 
prior to initiating the sepsis code/ alert.

Does anyone else use best practice alerts and use something other than SIRS 
criteria? We would like to make the alert more specific and cut down on all the 
firings throughout the day.

Thanks.

Tara R Miller, RN
Team Leader, Quality Management
Mobile Infirmary Medical Center
Office: 435-5109
Cell: 605-8270

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