Nacogdoches Memorial Hospital (NMH) is driven by technological advancement; it is the only hospital in Deep East Texas to offer Joint Commission-certified stroke centers, a Level III trauma center and NICU, and a standalone inpatient rehabilitation center. When considering the clinical challenges that come with attempting to improve sepsis-related patient outcomes, NMH sought to equip itself with the most innovative technologies. Accordingly, NMH decided to implement InSight hospital-wide. Prior to this point, NMH clinicians only performed manual screening of patients for sepsis. Now, NMH receives automated and advanced notification of sepsis onsets, which allows for greater treatment lead time.
InSight went live in the emergency department, intensive care units, intermediate care units, floor units, and rehabilitation center. In partnership with the Dascena onboarding team, NMH quality officials and clinicians designated an alert response escalation process at each of these locations. InSight alerts are delivered to the charge nurse on shift in every ward, as well as the house supervisor and hospital education coordinator. Dascena and NMH service line leadership also collaborated to deliver staff training on best practices related to sepsis. All together, InSight helped elevate the quality of patient care in less than a month by seamlessly fitting into the existing clinical workflow and enabling more timely and accurate sepsis diagnosis.
Following the introduction of InSight, NMH saw improvements in patient mortality and length of stay compared to baseline. Sepsis-related hospital mortality was reduced by 9.85%, from 12.2% (pre-implementation) to 11% (post-implementation). Sepsis related hospital length of stay was dropped from 5.13 days (pre-implementation) to 4.49 days (post-implementation), a 12.4% reduction. Pre-implementation (October 1-31, 2017, n=39) outcomes were calculated and compared to post-InSight implementation (November 1, 2017 - March 31, 2018, n=297). Only adult patients meeting at least two SIRS criteria were included for analysis (n=2263).