Table 1.
Clinical Impressions After Early Warning System 2.0 Alert
| Clinical Assessment, n (%) | Provider | Nurse | P-value |
|---|---|---|---|
| The alert resulted in new clinical findingsa | 14 (13) | 43 (24) | 0.03 |
| Vital sign change | 10 (71) | 39 (91) | |
| New symptoms | 6 (43) | 3 (7) | |
| Physical exam finding | 2 (14) | 2 (5) | |
| Lab finding | 0 (0) | 7 (16) | |
| Before the alert triggered, I thought the patient had sepsis | <0.001 | ||
| Yes | 40 (38) | 21 (12) | |
| Maybe | 29 (27) | 49 (28) | |
| No | 37 (35) | 106 (60) | |
| Within 6 hours after the alert triggered, I thought the patient had sepsis | <0.001 | ||
| Yes | 42 (40) | 23 (13) | |
| Maybe | 28 (26) | 54 (31) | |
| No | 36 (34) | 99 (56) | |
| By 48 hours after the alert triggered, I thought the patient had sepsisb | 0.06 | ||
| Yes | 8 (26) | 1 (6) | |
| Maybe | 4 (13) | 0 (0) | |
| No | 19 (61) | 15 (94) | |
| The alert affected my expectation that the patient would develop critical illness | 0.30 | ||
| Unchanged expectation | 66 (62) | 99 (55) | |
| Increased expectation | 13 (12) | 24 (13) | |
| The patient is newly critically ill | 1 (1) | 4 (2) | |
| The patient remains critically ill | 24 (2) | 47 (26) | |
| The patient is progressing in their critical illness | 3 (3) | 5 (3) |
Results are reported as number of responses for each item divided by the total number of respondents.
a
Clinicians could select more than one clinical finding, so percentages may add up to greater than 100% for this question.
b
For sepsis assessment at 48 hours, Provider n=44, nurse n=43. For all other questions, Provider n=107, nurse n=180.