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Table 3 Organ Specific Sepsis Alerting

From: Design of a novel multifunction decision support/alerting system for in-patient acute care, ICU and floor (AlertWatch AC)

Alert/Column

Patients to check

Start of Window

End of Window

Logic

Blood Culture Status

All

T – 24 h

T + 3 h

Blood Culture procedure order within the window

Antibiotic Status

All

T – 24 h

T + 3 h

Antibiotics administration exist within window

First Lactate Status

All

T – 6 h

T + 3 h

Positive = Lactate result exists

Second Lactate Status

First Lactate result ≥ 2 mmol/L

T

T + 6 h

Positive = Lactate order or result within timestamp after initial result

Vasopressor Status

Septic Shock BPA only

Earlier of T or when SBP < 90

T + 6 h

Positive = Vasopressor administration within window

  1. T = time that sepsis or septic shock was documented. SBP = systolic blood pressure