Full Title: Sepsis Early Prediction System Score (SEPSys Score) and RESCUE Score Multi-Site, Two-Intervention, Cluster-Randomized, Factorial Stepped-Wedge Pragmatic Clinical Trial at the University of Mayland Medical System
University of Maryland, Baltimore
Summary
This study is designed to test two new risk scores - one designed to predict a patient's four-hour risk of developing sepsis and one designed to predict a patient's four-hour risk of deterioration (cardiac arrest, death, unplanned ICU transfer, or rapid response team call). The goal of this study is to improve provider awareness of a patient's risk of these two negative outcomes by providing them with new risk scores. The primary outcome will be the time from when the risk score becomes elevated to when vital signs such as heart rate or blood pressure are measured, suggesting an increased awareness.
Description
The University of Maryland Medical System is conducting a study designed to test two new risk scores - one designed to predict a patient's four-hour risk of developing sepsis and one designed to predict a patient's four-hour risk of deterioration (death, cardiac arrest, unplanned ICU transfer, or rapid response call). The goal of this study is to improve provider awareness of a patient's risk of these two negative outcomes, sepsis and deterioration, by providing them with new risk scores. To assess provider awareness of risk, this study will measure time from elevated risk score to measurement…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Hospital Unit Inclusion Criteria: * Units are part of a member hospital of the University of Maryland Medical System (UMMS) * Units treat inpatient patients * Units agree to participate in the study General Encounter Inclusion Criteria: * Encounter is on a participating inpatient unit * Encounter is associated with a bedded patient in the hospital * Encounter is associated with an adult (at least 18 years of age at time of admission) Additional SEPSys Encounter Inclusion Criteria: • Encounter has a SEPSys Score Additional RESCUE Encounter Inclusion Criteria: • Encounter has a RESCUE Sco…
Interventions
- DeviceSEPSys
The SEPSys Score is a clinical decision support tool for predicting the risk of developing sepsis in the next 4 hours. The SEPSys Score produces a 1-4, color-coded risk, where 4 (red) is the highest risk and 1 (green) is the lowest risk.
- DeviceRESCUE
The RESCUE Score is a clinical decision support tool for predicting the risk of patient experiencing clinical deterioration (cardiac arrest, rapid response team call, death, or unplanned increase in care) in the next 4 hours. The RESCUE Score produces a 1-4, color-coded risk, where 4 (red) is the highest risk and 1 (green) is the lowest risk.
Locations (8)
- University of Maryland Medical Center - MidtownBaltimore, Maryland
- University of Maryland Medical CenterBaltimore, Maryland
- University of Maryland Upper Chesapeake Medical CenterBel Air, Maryland
- University of Maryland Shore Medical CenterEaston, Maryland
- University of Maryland Baltimore Washington Medical CenterGlen Burnie, Maryland
- University of Maryland Charles Regional Medical CenterLa Plata, Maryland