Table 2.
Perceived Reason for Alert Trigger
| Etiology of Alert Trigger, n (%) | First Surveya Provider (n=107) |
Nurse (n=180) | Second Surveyb Provider (n=44) |
Nurse (n=43) |
|---|---|---|---|---|
| The alert was primarily triggered by | ||||
| Sepsis | 42 (40) | 37 (21) | 13 (39) | 0 (0) |
| Dehydration | 15 (14) | 24 (14) | 6 (18) | 3 (18) |
| Cancer | 10 (9) | 13 (7) | 5 (15) | 1 (6) |
| Infection, not septic | 4 (4) | 11 (6) | 1 (3) | 0 (0) |
| Bleeding | 3 (3) | 5 (3) | 1 (3) | 1 (6) |
| Arrhythmia | 3 (3) | 8 (5) | 0 (0) | 1 (6) |
| Pulmonary problem | 3 (3) | 2 (1) | 0 (0) | 0 (0) |
| Post-operative state | 3 (3) | 8 (5) | 1 (3) | 3 (18) |
| End-stage organ failurec | 2 (2) | 7 (4) | 2 (6) | 0 (0) |
| Drug effect | 1 (1) | 3 (2) | 0 (0) | 1 (6) |
| Pain/anxiety | 1 (1) | 4 (2) | 0 (0) | 0 (0) |
| Cardiogenic shock | 0 (0) | 0 (0) | 2 (6) | 0 (0) |
| Pulmonary embolus | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
| Otherd | 5 (5) | 9 (5) | 0 (0) | 1 (6) |
| There was no clinical change, I don’t know why the alert triggered | 12 (11) | 37 (21) | 2 (6) | 6 (35) |
| There was a clinical change, but I don’t know why the alert triggered | 2 (2) | 7 (4) | 0 (0) | 0 (0) |
Because each percentage value has been rounded to the nearest whole number, total percentages do not equal 100%.
a
Completed within 6 hours of alert.
b
Completed 48 hours after alert.
c
Includes cirrhosis, end stage renal disease, dialysis, organ transplant rejection, and ventricular assist device.
d
Includes deconditioning, cardiac arrest, transfusion reaction, electrolyte imbalance, vasovagal, and single reading of transient hypotension.