Session 2G: Effect of an Electronic Health Record Screen and Treatment Pathway on Pediatric Sepsis Outcomes
Session Number
Session 2G: 2nd Presentation
Advisor(s)
Elizabeth Alpern, Ann & Robert H. Lurie Children’s Hospital of Chicago
Location
Room A117
Start Date
28-4-2017 10:00 AM
End Date
28-4-2017 11:15 AM
Abstract
Pediatric sepsis is a common and serious blood bacterial infection that can lead Multiple Organ Dysfunction Syndrome and death. Previous studies associate early recognition and treatment with increased patient outcomes, yet the optimal treatment protocol for pediatric patients is not always followed. In September 2015, Lurie Children’s Hospital implemented an electronic screening record and treatment pathway in their Emergency Department according to Goldstein criteria for pediatric sepsis. This pathway helps recognize patients at risk for or with confirmed sepsis, alerts healthcare providers, and prompts appropriate treatment with fluid boluses, IV antibiotics, transfer to the Intensive Care Unit. This is a cross-sectional study utilizing patient charts to determine the optimal specificity and sensitivity of the screening process and the effect it has on improved patient outcomes. We compared the electronic health records of patients treated with the newly established sepsis protocol (in monthly time intervals) against those treated prior to the institutional initiation of the screening tool and treatment pathway. The goal of this study is to determine the effect of the electronic screening process and treatment pathway on the clinical outcomes of pediatric patients with sepsis in order to decrease the occurrence of organ dysfunction, morbidity, and mortality
Session 2G: Effect of an Electronic Health Record Screen and Treatment Pathway on Pediatric Sepsis Outcomes
Room A117
Pediatric sepsis is a common and serious blood bacterial infection that can lead Multiple Organ Dysfunction Syndrome and death. Previous studies associate early recognition and treatment with increased patient outcomes, yet the optimal treatment protocol for pediatric patients is not always followed. In September 2015, Lurie Children’s Hospital implemented an electronic screening record and treatment pathway in their Emergency Department according to Goldstein criteria for pediatric sepsis. This pathway helps recognize patients at risk for or with confirmed sepsis, alerts healthcare providers, and prompts appropriate treatment with fluid boluses, IV antibiotics, transfer to the Intensive Care Unit. This is a cross-sectional study utilizing patient charts to determine the optimal specificity and sensitivity of the screening process and the effect it has on improved patient outcomes. We compared the electronic health records of patients treated with the newly established sepsis protocol (in monthly time intervals) against those treated prior to the institutional initiation of the screening tool and treatment pathway. The goal of this study is to determine the effect of the electronic screening process and treatment pathway on the clinical outcomes of pediatric patients with sepsis in order to decrease the occurrence of organ dysfunction, morbidity, and mortality