Analysis on the protocol developed by TPP (in collaboration with the UK Sepsis Trust) has shown that a ‘red flag’ warning has been generated over 1,500 times.
The protocol, launched in August 2015, triggers on the text the GP has entered, any measurements taken and any coded data in the patient’s shared record. It prompts the GP to consider whether a diagnosis of Sepsis should be considered. Since its launch, the protocol has triggered over 40,000 times. In 20,000 cases the GP followed the decision support process all the way to the end, which resulted in an inital warning 2,000 times and the ‘red flag’ warning 1,500 times.
A red flag warning indicates a serious risk and gives guidance to GPs to arrange for immediate transfer for hospital assessment.
Chris Bates, Head of Data and Analytics at TPP, says the figures show a very promising start. “Evidence shows that in the most severe sepsis cases the risk of death increases by 8% for every hour delay in administering antibiotics, so early intervention is vital. The analysis of our protocol shows that if GPs can intervene early, and act promptly, some of these deaths can hopefully be avoided.”
Ron Daniels, CEO of UK Sepsis Trust says “Sepsis claims around 44,000 lives annually in the United Kingdom- more than any cancer. 1,000 lives lost are in children and many more are young adults. Irrespective of age, people are dying needlessly, since early recognition and rapid intervention save lives. We welcome, therefore, clinical systems such as this which can highlight patients at risk of sepsis and aid decisions based on clinical judgement in determining whether or not to refer patients to hospital.”
The protocol is currently automatically enabled for all SystmOne GPs, nationwide. It can be disabled, on a practice level, if required.