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Utilising electronic health record data to assess the sepsis inpatient care pathway: a feasibility study

chapter
posted on 13.07.2021, 02:50 by L Li, Kasun RathnayakeKasun Rathnayake, TY Ong, C Hughes, V Lam, JI Westbrook
The World Health Organisation has recently declared sepsis a global medical emergency. Obtaining quality data to establish the evidence on how clinicians recognise, diagnose, and treat sepsis is still a challenge. This feasibility study aimed to utilise routinely collected data from electronic health records (EHR) to assess the sepsis inpatient care pathway. We conducted a retrospective observational cohort study which included all patients admitted to a private teaching hospital between 2015 and 2018. De-identified patient demographic and clinical data were extracted and analysed. A total of 47 sepsis patients were identified based on diagnoses recorded and a review of clinical notes. A surgical procedure was conducted on more than half of these patients (n=25, 53%). Nearly two-Thirds were given antibiotics (n=30, 64%), of which 87% (n=26) were administered within 2-hours of sepsis diagnosis. Eighteen patients were admitted to ICU and 13 of them were diagnosed as septic in ICU. We identified some aspects of EHR data that could be improved. Overall, routinely collected data from clinical information systems provides rich information to assess the sepsis patient care pathway.

History

Publication Date

19/04/2021

Book Title

Healthier lives, digitally enabled: selected papers from the Digital Health Institute Summit 2020

Editors

Merolli M Bain C Schaper LK

Publisher

IOS Press

Place of publication

Amsterdam

Series

Studies in Health Technology and Informatics

Volume

276

Pagination

7p. (p. 38-44)

ISBN-13

9781643681689

Rights Statement

The Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.