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Cited by 46Sepsis Diagnosis and TreatmentHealthcare Technology and Patient MonitoringElectronic Health Records Systems

Development and Implementation of Sepsis Alert Systems

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Harrison, Andrew M., Gajic, Ognjen, Pickering, Brian W., Herasevich, Vitaly·2016·Clinics in Chest Medicine
DOI 10.1016/j.ccm.2016.01.004PMC PMC4884325
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Abstract

Development and implementation of sepsis alert systems is challenging, particularly outside the monitored intensive care unit (ICU) setting. Barriers to wider use of sepsis alerts include evolving clinical definitions of sepsis, information overload, and alert fatigue, due to suboptimal alert performance. Outside the ICU, barriers include differences in health care delivery models, charting behaviors, and availability of electronic data. Current evidence does not support routine use of sepsis alert systems in clinical practice. Continuous improvement in the afferent and efferent aspects will help translate theoretic advantages into measurable patient benefit.

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Cited by

Sorted by citations

Authors
Harrison, A. M., Gajic, O., Pickering, B. W., & Herasevich, V.
Affiliations
Mayo Clinic (US)
Corresponding author
Herasevich, Vitaly
ORCID
Venue
Clinics in Chest Medicine
Publisher
Elsevier BV
Published
2016-06
Volume
37
Issue
2
Pages
219-229
ISSN
0272-5231 (ISSN-L)
DOI
10.1016/j.ccm.2016.01.004
PMC
PMC4884325
OpenAlex
W2330656570
Cited by
46
References
1
Citations by year
2026: 5 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 6 · 2020: 6 · 2019: 5 · 2018: 5 · 2017: 5 · 2016: 1
FWCI
0.72
Type
journal article
Language
en
Open access
Licence
Locations
  • Clinics in Chest Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Agency for Healthcare Research and Quality (R36HS022799)
  • National Heart, Lung, and Blood Institute (UH3HL125119, UH2HL125119, U01HL121819)
Topics
  • Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
  • Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Keywords
sepsis, alarm fatigue, clinical decision support, electronic health records, non-ICU settings, sepsis definitions, information overload, implementation barriers, models of care
MeSH terms
Humans, Intensive Care Units, Sepsis

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