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Sepsis

Early warnings will save lives

Sepsis is one of the biggest killers in the UK – of the 150,000 annual cases, 44,000 end in death, more than bowel, breast and prostate cancer combined. Yet it could be so different – sepsis can be treated relatively simply, but the difficulty lies in spotting a complex condition before it’s too late. This is where technology can help through Cerner’s St John Sepsis Agent.

The importance of early detection

Overcoming sepsis is personal to us. We know that there is a crucial window for treatment, so speed is of the essence. Our Sepsis Agent algorithm continually monitors the entire patient population of a hospital. This complete surveillance checks on temperature, heart rate, glucose levels and more, sending an alert to the rapid response care team if they fall outside of safe parameters, so they can act and save lives.

Take action within the workflow

Our sepsis management solution contains standard- and evidence-based diagnostic and treatment orders, designed to guide you through timely treatment processes. We include a sepsis six care set that offers a selection of medication therapies so that you can select the most effective antibiotic treatment, as well as order intravenous fluids, diagnostic tests and other therapies.

Cutting preventable deaths

Administered early enough, straightforward treatment with intravenous antibiotics and fluids can halt the progress of sepsis and allow patients to make a full recovery. When such care is provided, between 80 percent and 90 percent of those with sepsis can be saved, meaning tens of thousands of people will be able to go home to their friends and family who may otherwise have not.

FAQs

Why ‘St John’ Sepsis Agent?

The sepsis agent is named after our first Cerner client, St John Health System in Tulsa, Oklahoma. In honour of our first partner helping lead the vision, our first early warning alert system is also named after St John.

No, the alert is an indicator of possible sepsis. It is notifying the nurse that the patient has signs indicative of sepsis. The patient care order is not diagnosing the patient but instead giving guidance that the patient should be assessed for sepsis criteria.

The alert will only fire to nurses who have an active relationship with the patient. This is typically the bedside nurse.

Yes, each facility can set their own reference ranges for each and sepsis clinical concept.

When a patient meets 2/5 SIRS criteria + 1 sign of organ dysfunction. SIRS criteria includes: temperature, heart rate (pulse rate), respiratory rate, glucose, WBC and bands. Organ dysfunction criteria includes: total bilirubin, creatinine, lactic acid, systolic blood pressure and mean arterial pressure.

These clinical events include total bilirubin, creatinine, lactic acid, systolic blood pressure and mean arterial pressure.

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