In this single center before-after study, clinicians were automatically notified by pager if a patient exhibited hypotension and 2 or more other SIRS criteria (temp, resp rate, pulse, WBC count). The notification had a 99% negative predictive value (although only 54% positive predictive value), and increased the odds of ordering a chest xray and blood cultures. Early automatic identification of septic patients was moderately effective in improving the time to appropriate evaluations (abstract)
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