Advanced Triage Protocol: The Role of an Automated Lactate Order in Expediting Rapid Identification of Patients at Risk of Sepsis in the Emergency Department.

ABSTRACT: We undertook a process improvement initiative to expedite rapid identification of potential sepsis patients based on triage chief complaint, vital signs, and initial lactate level.

Design

Prospective cohort study.

Setting

Seven hundred-bed tertiary care hospital with ≅65,000 patient visits/yr.

Patients

Patients presenting to emergency department (ED) triage who met the following criteria: greater than or equal to two of the three systemic inflammatory response syndrome criteria assessable in triage, a chief complaint suggestive of infection, emergency severity index 2 or 3, and ambulatory to ED.

Interventions

A computer-generated lactate order was created, staff education and resources increased, and point-of-care lactate testing was introduced.

Measurements

SUBMITTER: Baum A 

PROVIDER: S-EPMC9394690 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature