Sepsis Clinical Pathway — Emergency Department, Inpatient and PICU

ED EHR Sepsis and Hypotension Alerts and Huddles

Sepsis BPAs are data driven automated systems integrated within EHR to improve sepsis recognition. BPAs prompt assessments and bedside huddles with provider staff.

The ED utilizes a data-driven, two-stage vital signs based electronic alert aimed at improving sepsis recognition during the ED care course. An additional hypotension alert will fire to capture progression of illness.

ED 1^st Stage Alert

1^st stage alert appears if tachycardia or hypotension present.

RN documents concern for infection and any perfusion abnormality or high-risk condition. Mental status is pre-populated with current documentation and allows RN to update.

EPIC interprets new data inputs.

ED 2^nd Stage Alert

2^nd stage alert appears if patient meets criteria for sepsis huddle.

RN + Attending/Fellow MD huddle using Sepsis Alert Response Algorithm (SARA).

Any team member documents outcome.

ED Sepsis Watcher Narrator Alert

If patient deemed “Sepsis Watcher”, EPIC narrator alert reminds of need to re-huddle in 60 minutes.

ED Sepsis Watcher Narrator Alert

ED Hypotension 3^rd Stage Alert

If new hypotension is noted after prior negative alert or huddle, additional Hypotension Huddle alert will appear.

SARA

If you have questions about any of the clinical pathways or about the process of creating a clinical pathway, please contact us.

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.

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Sepsis Clinical Pathway — Emergency Department, Inpatient and PICU

ED EHR Sepsis and Hypotension Alerts and Huddles

ED 1^st Stage Alert

ED 2^nd Stage Alert

ED Sepsis Watcher Narrator Alert

ED Hypotension 3^rd Stage Alert

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Sepsis — ED EHR Sepsis and Hypotension Alerts and Huddles — Clinical Pathway: Emergency Department, Inpatient and PICU

Sepsis Clinical Pathway — Emergency Department, Inpatient and PICU

ED EHR Sepsis and Hypotension Alerts and Huddles

ED 1st Stage Alert

ED 2nd Stage Alert

ED Sepsis Watcher Narrator Alert

ED Hypotension 3rd Stage Alert

ED 1^st Stage Alert

ED 2^nd Stage Alert

ED Hypotension 3^rd Stage Alert