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

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Abstract

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.
Original languageEnglish
Title of host publicationHealthier lives, digitally enabled
Subtitle of host publicationselected papers from the Digital Health Institute Summit 2020
EditorsMark Merolli, Chris Bain, Louise K. Schaper
Place of PublicationAmsterdam
PublisherIOS Press
Pages38-44
Number of pages7
ISBN (Electronic)9781643681696
ISBN (Print)9781643681689
DOIs
Publication statusPublished - 2021
EventDigital Health Institute Summit - Online, Australia
Duration: 5 Nov 202025 Nov 2020

Publication series

NameStudies in Health Technology and Informatics
PublisherIOS Press
Volume276
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

ConferenceDigital Health Institute Summit
CountryAustralia
Period5/11/2025/11/20

Bibliographical note

Copyright the Author(s) and IOS Press 2021. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • sepsis
  • patient care pathway
  • electronic health record
  • antibiotics
  • sepsis treatment

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