The Sepsis Early Warning at Bedside app delivers real-time detection and escalation tools directly into nursing workflows. By combining vital sign trends, lab results, and risk scores such as qSOFA and SIRS, it prompts early nurse screening, documents findings, and activates escalation pathways before deterioration occurs.
Why it matters
Every minute counts in sepsis management, yet early indicators are often buried in multiple systems or delayed in recognition. This tool ensures that nurses, the first to detect subtle patient changes, are equipped with integrated, evidence-based prompts that connect clinical data, sepsis bundles, and rapid response protocols at the bedside.
Benefits
- Reduces failure-to-rescue: Detects early physiologic changes and triggers timely intervention.
- Shortens time-to-bundle initiation: Streamlines identification, screening, and escalation to meet SEP-1 and CMS sepsis measures.
- Standardizes screening: Ensures consistent detection criteria and escalation steps across units and shifts.
- Supports defensible documentation: Captures timestamps and nurse responses for audit and quality review.
Capabilities
- SMART on FHIR bedside integration: Launches contextually from the EMR, prepopulating vital signs, lab results, and patient context.
- CDS Hooks-based prompting: Evaluates qSOFA, SIRS, and lactate thresholds to deliver real-time alerts and screening tasks.
- Dynamic trending: Displays vitals and labs over time to visualize patient trajectory and risk escalation.
- Nurse-driven screening forms: Guides structured assessment and allows rapid escalation to providers or rapid response teams.
- Audit and analytics: Tracks time-to-screen, time-to-antibiotic, and compliance with sepsis bundles for quality reporting.
- Integration with rapid response workflows: Notifies escalation teams and documents handoff within the EMR.
- FHIR alignment: Uses
Observation,Condition,CarePlan, andTaskresources for interoperability.
Great for
- Nursing Teams & Rapid Response Leads: Detect and escalate early sepsis indicators using standardized thresholds, bedside prompts, and structured screening workflows.
- Quality Improvement & Patient Safety Officers: Track time-to-bundle and failure-to-rescue metrics with audit-ready data for SEP-1 and internal quality dashboards.
- Clinical Informatics & EMR Analysts: Embed SMART on FHIR sepsis screening tools and monitor CDS Hook triggers for consistency and compliance across units.
- Critical Care & Emergency Teams: Receive real-time alerts on high-risk patients, improving coordination and early intervention.
Integration & Standards Alignment
- FHIR R4 compliant (
Observation,Condition,Task,CarePlan,AuditEvent) - SMART on FHIR contextual launch from EMR or mobile device
- Supports CDS Hooks for sepsis screening triggers
- Aligns with CMS SEP-1 and Surviving Sepsis Campaign bundle requirements


