Electronic health record-based clinical decision support alert for severe sepsis: a randomised evaluation.

ABSTRACT:

Background

Sepsis remains the top cause of morbidity and mortality of hospitalised patients despite concerted efforts. Clinical decision support for sepsis has shown mixed results reflecting heterogeneous populations, methodologies and interventions.

Objectives

To determine whether the addition of a real-time electronic health record (EHR)-based clinical decision support alert improves adherence to treatment guidelines and clinical outcomes in hospitalised patients with suspected severe sepsis.

Design

Patient-level randomisation, single blinded.

Setting

Medical and surgical inpatient units of an academic, tertiary care medical centre.

Patients

1123 adults over the age of 18 admitted to inpatient wards (intensive care units (ICU) excluded) at an academic

SUBMITTER: Downing NL 

PROVIDER: S-EPMC6860967 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature