Abstract
Patients with worsening sepsis on general hospital wards are at high risk for clinical deterioration, unplanned admission to the intensive care unit, and death. Many hospitals have begun to employ early warning systems (EWSs) to alert nurses and providers that a patient is predicted to deteriorate. Multiple papers in the rapid response team (RRT) and sepsis literature describe typical problems leading to an EWS alert (e.g., systemic inflammatory response syndrome, low blood pressure) as well recommended interventions such as intravenous fluid bolus, antibiotics, and transfer to the intensive care unit (ICU). Despite the evidence base, it remains unclear which actions following an EWS alert might improve 30-day survival.
Sigma Membership
Alpha Eta
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Systematic Review
Research Approach
Quantitative Research
Keywords:
Sepsis, Early Warning Systems, Patient Deterioration, Fluid Bolis Therapy, Patient Survival
Advisor
Caroline Stephens
Second Advisor
Xiao Hu
Degree
PhD
Degree Grantor
University of California, San Francisco
Degree Year
2018
Recommended Citation
Linnen, Daniel T., "Alert driven rescue: Do in-hospital sepsis interventions following an advanced early warning system alert differ substantially between decedents and survivors?" (2021). Dissertations. 1836.
https://www.sigmarepository.org/dissertations/1836
Rights Holder
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Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2021-09-29
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10828062; ProQuest document ID: 2089422218. The author still retains copyright.