Modified early warning score-based clinical decision support: cost impact and clinical outcomes in sepsis.

ABSTRACT:

Objective

The objective of this study was to assess the clinical and financial impact of a quality improvement project that utilized a modified Early Warning Score (mEWS)-based clinical decision support intervention targeting early recognition of sepsis decompensation.

Materials and methods

We conducted a retrospective, interrupted time series study on all adult patients who received a diagnosis of sepsis and were exposed to an acute care floor with the intervention. Primary outcomes (total direct cost, length of stay [LOS], and mortality) were aggregated for each study month for the post-intervention period (March 1, 2016-February 28, 2017, n = 2118 visits) and compared to the pre-intervention period (November 1, 2014-October 31, 2015, n = 1546 visits).

Res

SUBMITTER: Horton DJ 

PROVIDER: S-EPMC7382614 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature