{"title":"儿科ICU电子健康记录筛查对败血症的识别","authors":"Molly Zimmerman, Eryn Brown, Myra Schmaderer, Leeza Struwe","doi":"10.1097/NCQ.0000000000000868","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Early recognition and intervention of sepsis in the pediatric population have been shown to decrease hospital length of stay and mortality rates. Stakeholders within a pediatric intensive care unit (PICU) identified a need to improve sepsis recognition in compliance with the Improving Pediatric Sepsis Outcomes Collaborative recommendations.</p><p><strong>Purpose: </strong>The purpose of this study was to identify appropriate screening variables in an electronic health record (EHR)-embedded sepsis screening tool to improve sepsis recognition in the PICU setting.</p><p><strong>Methods: </strong>A retrospective data analysis was conducted to test 3 versions of an EHR sepsis screen including triggers based on vital signs and/or laboratory results.</p><p><strong>Results: </strong>Of the 3 tested versions, the sepsis screen version that triggered based on both vital signs and laboratory findings showed the most promising results with a sensitivity of 83.3% and a specificity of 76%.</p><p><strong>Conclusions: </strong>EHR-embedded sepsis screens that monitor documented variables can identify potential sepsis while avoiding over-triggers.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sepsis Recognition by Electronic Health Record Screening in the Pediatric ICU.\",\"authors\":\"Molly Zimmerman, Eryn Brown, Myra Schmaderer, Leeza Struwe\",\"doi\":\"10.1097/NCQ.0000000000000868\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Early recognition and intervention of sepsis in the pediatric population have been shown to decrease hospital length of stay and mortality rates. Stakeholders within a pediatric intensive care unit (PICU) identified a need to improve sepsis recognition in compliance with the Improving Pediatric Sepsis Outcomes Collaborative recommendations.</p><p><strong>Purpose: </strong>The purpose of this study was to identify appropriate screening variables in an electronic health record (EHR)-embedded sepsis screening tool to improve sepsis recognition in the PICU setting.</p><p><strong>Methods: </strong>A retrospective data analysis was conducted to test 3 versions of an EHR sepsis screen including triggers based on vital signs and/or laboratory results.</p><p><strong>Results: </strong>Of the 3 tested versions, the sepsis screen version that triggered based on both vital signs and laboratory findings showed the most promising results with a sensitivity of 83.3% and a specificity of 76%.</p><p><strong>Conclusions: </strong>EHR-embedded sepsis screens that monitor documented variables can identify potential sepsis while avoiding over-triggers.</p>\",\"PeriodicalId\":16931,\"journal\":{\"name\":\"Journal of nursing care quality\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-04-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of nursing care quality\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NCQ.0000000000000868\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000868","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Sepsis Recognition by Electronic Health Record Screening in the Pediatric ICU.
Background: Early recognition and intervention of sepsis in the pediatric population have been shown to decrease hospital length of stay and mortality rates. Stakeholders within a pediatric intensive care unit (PICU) identified a need to improve sepsis recognition in compliance with the Improving Pediatric Sepsis Outcomes Collaborative recommendations.
Purpose: The purpose of this study was to identify appropriate screening variables in an electronic health record (EHR)-embedded sepsis screening tool to improve sepsis recognition in the PICU setting.
Methods: A retrospective data analysis was conducted to test 3 versions of an EHR sepsis screen including triggers based on vital signs and/or laboratory results.
Results: Of the 3 tested versions, the sepsis screen version that triggered based on both vital signs and laboratory findings showed the most promising results with a sensitivity of 83.3% and a specificity of 76%.
Conclusions: EHR-embedded sepsis screens that monitor documented variables can identify potential sepsis while avoiding over-triggers.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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