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Blood Culture Ordering After Sepsis Alerts and Subsequent Patient Outcomes: An Electronic Health Record-Based Study.
Li, Ling; Rathnayake, Kasun; Walter, Scott; Fullick, Mary; Shetty, Amith; Hudson, Paul; Lander, Harvey; Westbrook, Johanna I.
Afiliación
  • Li L; Macquarie University, Sydney, New South Wales, Australia.
  • Rathnayake K; Macquarie University, Sydney, New South Wales, Australia.
  • Walter S; Macquarie University, Sydney, New South Wales, Australia.
  • Fullick M; Clinical Excellence Commission, Sydney, New South Wales, Australia.
  • Shetty A; Macquarie University, Sydney, New South Wales, Australia.
  • Hudson P; Clinical Excellence Commission, Sydney, New South Wales, Australia.
  • Lander H; Clinical Excellence Commission, Sydney, New South Wales, Australia.
  • Westbrook JI; Macquarie University, Sydney, New South Wales, Australia.
Stud Health Technol Inform ; 310: 314-318, 2024 Jan 25.
Article en En | MEDLINE | ID: mdl-38269816
ABSTRACT
Sepsis is a global health priority associated with high mortality. Clinical decision support systems have been developed to support clinicians with sepsis management. Ordering blood cultures (BCs) for suspected sepsis patients are strongly recommended by clinical guidelines. However, limited evidence exists investigating BC ordering following sepsis alerts and subsequent patient outcomes. This study aimed to investigate this issue using electronic health record data from an acute care hospital in Australia. Of 4,092 patients, only 16.6% had a BC ordered following a sepsis alert. The median time from the first sepsis alert to a BC order was 15.3 hours. Patients had 5.89 times higher odds of being diagnosed with sepsis if a BC was ordered following a sepsis alert than those without BC ordered (p<0.0001). Further investigation is needed to understand reasons behind the delay or failure to order a BC despite receiving electronic sepsis alerts and how decision support can be optimized to improve patient outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sepsis / Registros Electrónicos de Salud Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Humans País/Región como asunto: Oceania Idioma: En Revista: Stud Health Technol Inform Asunto de la revista: INFORMATICA MEDICA / PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sepsis / Registros Electrónicos de Salud Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Humans País/Región como asunto: Oceania Idioma: En Revista: Stud Health Technol Inform Asunto de la revista: INFORMATICA MEDICA / PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Países Bajos