Sooner is better: use of a real-time automated bedside dashboard improves sepsis care

Andrew D. Jung, Jennifer Baker, Christopher A. Droege, Vanessa Nomellini, Jay Johannigman, John B. Holcomb, Michael D. Goodman, Timothy A. Pritts

Research output: Contribution to journalArticlepeer-review


Background: Minimizing the interval between diagnosis of sepsis and administration of antibiotics improves patient outcomes. We hypothesized that a commercially available bedside clinical surveillance visualization system (BSV) would hasten antibiotic administration and decrease length of stay (LOS) in surgical intensive care unit (SICU) patients. Methods: A BSV, integrated with the electronic medical record and displayed at bedside, was implemented in our SICU in July 2016. A visual sepsis screen score (SSS) was added in July 2017. All patients admitted to SICU beds with bedside displays equipped with a BSV were analyzed to determine mean SSS, maximum SSS, time from positive SSS to antibiotic administration, SICU LOS, and mortality. Results: During the study period, 232 patients were admitted to beds equipped with the clinical surveillance visualization system. Thirty patients demonstrated positive SSS followed by confirmed sepsis (23 Pre-SSS versus 7 Post-SSS). Mean and maximum SSS were similar. Time from positive SSS to antibiotic administration was decreased in patients with a visual SSS (55.3 ± 15.5 h versus 16.2 ± 9.2 h; P < 0.05). ICU and hospital LOS was also decreased (P < 0.01). Conclusions: Implementation of a visual SSS into a BSV led to a decreased time interval between the positive SSS and administration of antibiotics and was associated with shorter SICU and hospital LOS. Integration of a visual decision support system may help providers adhere to Surviving Sepsis Guidelines.

Original languageEnglish (US)
Pages (from-to)373-379
Number of pages7
JournalJournal of Surgical Research
StatePublished - Nov 2018
Externally publishedYes


  • Antibiotic treatment
  • Clinical decision support tools
  • Guideline compliance
  • Sepsis
  • Sepsis screening score
  • Septic shock

ASJC Scopus subject areas

  • Surgery


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