Evaluating a digital sepsis alert in a London multisite hospital network: a natural experiment using electronic health record data.

ABSTRACT:

Objective

The study sought to determine the impact of a digital sepsis alert on patient outcomes in a UK multisite hospital network.

Materials and methods

A natural experiment utilizing the phased introduction (without randomization) of a digital sepsis alert into a multisite hospital network. Sepsis alerts were either visible to clinicians (patients in the intervention group) or running silently and not visible (the control group). Inverse probability of treatment-weighted multivariable logistic regression was used to estimate the effect of the intervention on individual patient outcomes.

Outcomes

In-hospital 30-day mortality (all inpatients), prolonged hospital stay (≥7 days) and timely antibiotics (≤60 minutes of the alert) for patients who alerted in the emergency

SUBMITTER: Honeyford K 

PROVIDER: S-EPMC7025344 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature