Hello, I know this topic has been talked about a few times but wondering what others use as triggers for sepsis identification in the Emergency Department. We have nurses answer a 'yes'/'no' question about suspected sepsis and then if they say 'yes' Epic looks for 2 or more SIRS on the patient and will fire a BPA (Best Practice Alert) to RN/provider that says the patient might have sepsis and to get a CBC/Lactate. If the patient then develops hypotension or a lactate > 2.0 it will fire another BPA to say to call a Sepsis Alert and initiate the rest of the sepsis bundle. We struggle with getting the 'yes'/'no' on the infection question accurate and that is the hinge to the BPA firing. Additionally, we currently hinge calling an alert on either the lactate or hypotension. We are only getting the infection question right about 50% of the time meaning a lot of septic patients miss getting a BPA fire.
- What do other have built within their EHR to help trigger staff the patient might be septic? - Anyone else found a way to pull for concern of infection other than staff answering a yes/no question? - Any other logic other than SIRS for EHR triggers? - Does anyone have staff trigger a sepsis alert off of just suspected infection + SIRS - What are your triggers for calling a sepsis alert in the ED We also have a lot of pushback with concerns of over treating viral, strep throat, etc based on the BPAs. Anyone else found this? Solutions? I know sometimes because we did draw a lactate we found that "healthy" 20year old with pharyngitis is actually quite sick but looking at ways to show data on patients we would have missed if we did not draw a lactate on seemingly "healthy" patients. If anyone doesn't mind sharing it would be greatly appreciated. Thanks! Elise McKnight Sepsis Coordinator Northern Colorado Medical Center of the Rockies Poudre Valley Hospital Yampa Valley Medical Center Longs Peak Hospital Greeley Hospital 2500 Rocky Mountain Ave Loveland, CO 80538 O 970.624.2153 C 970.290.9436 F 970.624.2192 elise.mckni...@uchealth.org uchealth.org [UCHealth]<https://www.uchealth.org/>
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