Improving Sepsis Outcomes at Michigan Medicine - Adult

Overview

Did you know?

  • Sepsis is the third most frequent coded diagnosis at Michigan Medicine.
  • Sepsis should be treated with the same sense of urgency as other medical emergencies like strokes and heart attacks.
  • As an institution, we need to be more PROACTIVE instead of REACTIVE to sepsis so we can prevent sepsis from causing irreversible organ dysfunction and/or death!

On the inpatient adult general care units, the sepsis predictive model can assist clinicians in detecting patients likely to diagnosed with sepsis, enabling them to intervene before the condition has a chance to progress. The model monitors data in the background and will prompt nursing to complete screening questions. The screening questions are also completed once per shift as part of nursing required documentation. These screenings provide the system with more information, including crucial subjective information, which is used to determine if the First Contact Provider is automatically paged.

In the adult emergency services department, nurses will complete an initial sepsis screen at triage in order to identify severe sepsis and septic shock patients upon arrival. For patients who do not initially screen positive, the background surveillance system incorporates the sepsis predictive model to identify these patients during their ED stay with an emphasis on a lactate > 4 or hypotension. The treatment team is automatically paged and a bedside huddle is expected.

Deployment Dates

Tuesday, March 23

Adult Emergency Services 

Contact Information

For any questions, please contact the Sepsis Team.