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)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.