Annals of the American Thoracic Society, Jan 19, 2015
We implemented an electronic early warning and response system (EWRS) to improve detection of and... more We implemented an electronic early warning and response system (EWRS) to improve detection of and response to severe sepsis. Sustainability of such a system requires stakeholder acceptance. We hypothesized clinicians receiving such alerts perceive them to be useful and effective. To survey clinicians following EWRS notification about perceptions of the system. For a 6 week study period one month after EWRS implementation in a large tertiary referral medical center, bedside clinicians including providers (physicians, advanced practice providers) and registered nurses (RNs) were surveyed confidentially within 2 hours of an alert. For the 247 alerts that triggered, 127 (51%) providers and 105 (43%) RNs completed the survey. Clinicians perceived most patients as stable before and after the alert. Approximately half (39% providers, 48% RNs) felt the alert provided new information, and about half (44% providers, 56% RNs) reported changes in management as a result of the alert, including c...
Annals of the American Thoracic Society, Jan 19, 2015
We implemented an electronic early warning and response system (EWRS) to improve detection of and... more We implemented an electronic early warning and response system (EWRS) to improve detection of and response to severe sepsis. Sustainability of such a system requires stakeholder acceptance. We hypothesized clinicians receiving such alerts perceive them to be useful and effective. To survey clinicians following EWRS notification about perceptions of the system. For a 6 week study period one month after EWRS implementation in a large tertiary referral medical center, bedside clinicians including providers (physicians, advanced practice providers) and registered nurses (RNs) were surveyed confidentially within 2 hours of an alert. For the 247 alerts that triggered, 127 (51%) providers and 105 (43%) RNs completed the survey. Clinicians perceived most patients as stable before and after the alert. Approximately half (39% providers, 48% RNs) felt the alert provided new information, and about half (44% providers, 56% RNs) reported changes in management as a result of the alert, including c...
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Papers by Mark Upton