We use Cerner as our EMR and our alert fires based on SIRS and Organ 
dysfunction criteria.   If the RN verifies that the SIRS and Organ dysfunction 
criteria are correct and there is a suspected source of infection, the System 
will automatically place orders for Lactic acid and Blood cultures and the RN 
gets a task to "Notify Physician" and ask about orders for antibiotics/fluids.

It's not perfect and there are still plenty of false positive alerts.

Courtney Merwin BS, RRT
Quality Management
East Jefferson General Hospital
4200 Houma Blvd.
Metairie, LA  70006
504-503-5968
[email protected]<mailto:[email protected]>


From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Tara Miller
Sent: Wednesday, November 01, 2017 4:02 PM
To: '[email protected]'
Subject: [Sepsis Groups] Sepsis Best Practice Alerts

We use EPIC as our EMR. We currently are using best practice alerts to fire off 
to the nursing staff when a patient meets SIRS criteria and then we have the 
nurse assess the patient and review the record for possible source of infection 
prior to initiating the sepsis code/ alert.

Does anyone else use best practice alerts and use something other than SIRS 
criteria? We would like to make the alert more specific and cut down on all the 
firings throughout the day.

Thanks.

Tara R Miller, RN
Team Leader, Quality Management
Mobile Infirmary Medical Center
Office: 435-5109
Cell: 605-8270

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