Designed by Kelly Emrick, DHSc, PhD, MBA
This SEPSIS Screening Tool is designed to function as a seamless, dual-layer safety net that integrates directly into the existing patient portal, ensuring that no potential sepsis case goes unnoticed. Ideally, the health system will deploy this tool primarily as a digital “pre-check” embedded within the patient portal. Twenty-four hours before any scheduled appointment or procedure, patients will receive a prompt to complete this brief assessment at home. If the tool detects high-risk symptoms during this remote screening, it triggers an automatic alert to the nursing triage line, allowing clinicians to intercept the patient and redirect them to the Emergency Department if necessary, rather than having a critically ill patient arrive at an outpatient clinic ill-equipped for acute resuscitation.
For patients entering the system directly through physical entry points such as the Emergency Department, Urgent Care, or surgical admissions, the tool serves as a mandatory “digital triage” at the registration kiosk. Before a patient even takes a seat in the waiting room, they complete the screening on a tablet. A positive result on this tool immediately bypasses standard administrative workflows, alerting the front desk staff to initiate a “Sepsis Alert.” This mechanism effectively eliminates the “waiting room gap,” ensuring that the critical “Golden Hour” for sepsis treatment, including lactate draws and antibiotic administration, begins the moment the patient walks through the door, rather than waiting for a physician’s initial evaluation.
SEPSISGUARD
Analytics & Impact Report
Closing the Golden Hour Gap
Sepsis is a medical emergency where time is tissue. The Sepsis Guard Protocol integrates a patient-facing digital screening tool directly into the administrative intake process. By capturing critical symptoms before clinical evaluation, we have transformed the “waiting room” from a passive holding area into an active diagnostic firewall.
The “Digital Front Door” Strategy
Visualizing the dual-entry screening process. This workflow ensures no patient enters the system without an objective sepsis risk calculation, regardless of their entry point.
1. Pre-Visit Screen
24hrs before appt, patient receives portal link. Self-reports symptoms at home.
2. Kiosk Triage
Walk-ins complete 30-second assessment on lobby tablets during registration.
3. Risk Alert
Score > 2 triggers immediate “Red Flag.” Patient bypasses admin queue.
4. The Bundle
Lactate draw & antibiotics initiated within the Golden Hour.
Reported Symptom Frequency
Analysis of positive flags from 5,000 screenings. “Confusion” and “Shortness of Breath” are the leading indicators in confirmed sepsis cases.
Population Risk Stratification
Breakdown of the screened population. While only 8% trigger a Critical Alert, this automated filtering allows staff to focus resources intensely on that minority.
Operational Impact: Door-to-Antibiotic Time
A temporal analysis of treatment velocity. Since implementing the digital screener in January, the average time from door entry to antibiotic administration has dropped by 35%, significantly improving survival odds.
42 min
Current Avg Time
Sepsis Bundle Compliance (1-Hour Protocol)
Adherence to the specific components of the CMS SEP-1 core measure bundle. The automated alerts have driven near-perfect compliance in Lactate measurement and Blood Cultures.
Total Screened
12,450
100% of emergency arrivals.
Critical Intercepts
342
Patients fast-tracked to ICU.
Mortality Reduction
18.5%
Year-over-year improvement.