期刊
CLINICAL NURSING RESEARCH
卷 30, 期 1, 页码 42-49出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1054773818823334
关键词
sepsis; septic shock; screening; early warning measures
类别
This study examines the modification of sepsis screening tools by combining multiple criteria, leading to significant improvement in nurses' recognition of sepsis and reducing false triggering rates. The updated criteria show potential for developing an effective tool that balances sensitivity and specificity.
Providing effective screening tools to nurses is necessary to improve patient outcomes and health care quality. This research examines if the modification of two electronic health record sepsis screening tools using a combined systemic inflammatory response syndrome (SIRS), modified early warning score (MEWS), and national early warning score (NEWS) criteria improves the recognition of sepsis by nurses. Medical-surgical/telemetry units at a medical center in the Midwest were examined using a quasiexperimental design. Modifications of tool 1 captured 18% more correct classifications of sepsis (odds ratio [OR] = .82, 95% CI = [0.68, 0.98]), triggering for 10% fewer patients, t(1033) = 9.31, p < .001. 95% CI = [0.078, 0.119]. Modifications of tool 2 captured 3 times more correct alerts (OR = .29, 95% CI = [0.24, 0.35]), triggering for 46% fewer patients, t(1033) = 24.38, p < .001. 95% CI = [0.420, 0.493]. The updated criteria showed significant improvement toward correctly identifying sepsis and presents the opportunity to develop an effective tool that balances sensitivity with specificity.
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