Using this method to identify children in a pediatric emergency department with severe sepsis reduced missed diagnoses by 76%.
Researchers built a two-stage alert (ESA) and implemented it into the hospital’s EHR. The first-stage alert is triggered when an age-based elevated heart rate or hypotensive blood pressure is documented in the EHR at any time during the emergency visit. If the patient also has a fever or infection risk, the alert triggers a series of questions about underlying high-risk conditions, perfusion, and mental status. If the answer is yes to any of these questions, a second-stage alert triggers.