Hi, I am interested in getting feedback from organizations who are currently using a Sepsis BPA (alert) as a functionality of the EMR.
My question is: What type of lockout times are in place for the alert based on the following types of acknowledgement (or whatever your acknowledgement choices are)? This list is comprised of examples of choices that I have come across, as different places word things differently. No infection suspected Actual/suspected infection Worsening infection Already treating infection Action taken (i.e., lactate draw or RRT call) For example, if a patient is seen through the ED where the chief complaint is difficulty breathing and subsequent final diagnosis is non-infection related (COPD), a sepsis BPA fires and the nurse selects "no infection suspected." This will then lockout the BPA firing again for let's say 12 hours. This means that if in the next few hours the patient decompensates and now shows signs and symptoms of an infection based on SIRS, etc., it won't be communicated to staff via BPA/alert until the 12 hour lockout period has expired. It seems as though there can be a lot of variation depending on who is working on the build. My organization uses EPIC, but I am sure the same feature is part of the build for users of other EMR platforms. I am curious as to the rationale and hourly lockout times others are using. Thanks so much in advance for responding. Melissa Keck, RN, MSN/MSBA Sepsis Coordinator Quality Management Beaumont Hospital - Dearborn Oakwood Campus 18101 Oakwood Blvd. Dearborn, MI 48124 Office: 313.593.7103 Fax: 313.982.5671 Internal Page: #2513 External Page: 313-503-2068 x2513 [email protected]<mailto:[email protected]> [cid:[email protected]]
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