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Sepsis Early Warning Agent

Clinical OperationsClinical Surveillance

Continuously scores vitals, labs, and notes for early sepsis risk and escalates alerts into rapid-response workflows.

4
Process steps
2
Integrations
3
Data inputs

Sepsis remains a leading cause of inpatient mortality, yet early signs are easy to miss amid noisy vitals, delayed labs, and fragmented documentation

Rule-based alerts often fire too late or too often, creating alarm fatigue that causes clinicians to ignore true deterioration

Manual surveillance cannot watch every patient continuously across ED, wards, and ICU step-down units

Delayed recognition postpones bundles (cultures, antibiotics, fluids) and worsens mortality, LOS, and CMS SEP-1 performance

The Sepsis Early Warning Agent continuously evaluates vitals, labs, microbiology, and clinical notes to generate a calibrated sepsis risk score for each active patient. High-risk scores trigger tiered escalation into nurse review and rapid-response workflows with bundle checklists and time stamps. Feedback from true positives, false alarms, and SEP-1 outcomes tunes thresholds to protect both sensitivity and alert credibility.

1

Stream Multimodal Clinical Signals

  • Ingest vitals, continuous monitoring, labs, and med administrations
  • Parse notes for infection source clues and mental status changes
  • Align data to encounter timelines with data-quality checks
Outcome: A clean, minute-level clinical feature stream per patient for risk scoring.
2

Score Sepsis Risk Continuously

  • Compute risk scores with trend and comorbidity context
  • Suppress redundant alerts within defined refractory windows
  • Differentiate suspected sepsis from non-infectious SIRS patterns
Outcome: Prioritized risk lists with explanations clinicians can trust.
3

Escalate into Rapid-Response Workflows

  • Notify bedside RN and covering provider based on severity tier
  • Launch sepsis bundle checklist with culture, antibiotic, and fluid timers
  • Escalate to rapid response or sepsis team when criteria met
Outcome: Faster time-to-antibiotics and closed-loop acknowledgment of critical alerts.
4

Review Outcomes and Reduce Alarm Fatigue

  • Capture alert disposition (true sepsis, alternative diagnosis, dismissed)
  • Report SEP-1 bundle compliance and mortality correlations
  • Recalibrate thresholds by unit and population
Outcome: Improved early detection with sustainable alert volumes and measurable outcome lift.
Epic
Flowsheets, BPA sepsis alerts, Secure Chat escalation, and Code Sepsis order sets
Cerner
iBus vitals, Discern expert rules, Message Center, and sepsis PowerPlan activation