HCA Healthcare’s SPOT (Sepsis Prediction and Optimization of Therapy)

♪ [music] ♪ – [Dr. Nottidge] Sepsis is basically
the body’s response to an infection and it’s a response that is vigorous,
well-intentioned, but has spun out of its axis basically. It’s like a brush fire gone
out of control. And so, basically, the body responds in
ways that, individually, might be able to help with fighting an infection,
but together, often times lead to the death of the person who is
afflicted with it. ♪ [music] ♪ – [Dr. Perlin] SPOT stands for Sepsis
Prediction and Optimization of Therapy. It does what every patient would want but
no clinician can actually do, that is it’s a computer system that
monitors the patient’s labs, the patient’s vital signs,
and all the other information, 24 hours a day, 7 days a week,
365 days a year. – [Susie] The SPOT’s algorithm alerts and
it alerts here in the monitor room. Once the monitor room receives this alert,
they transmit that data to the nurse. – [Brooke] And if their vital signs are
trending this particular way or worsening, then it sends us an alert to
kind of be on alert for them. – Seeing the patient’s heart rate
elevated, seeing the respiratory rate elevated, watching their fluids,
making sure they’re on the right antibiotic, reassessing their
cultures, all those things are the story of SPOT. – The smallest adjustment, kind of we can
hone in on, and see when things start going south and when we need to
do something, and as the bedside nurses, it’s nice because we have this
relationships with the ICU doctors that we can say, “Here’s the data,
here’s what I’m seeing, here’s how the patient looks,
here’s why we think that they’re becoming septic and how we should treat it and
prevent it from escalating any further.” – [Dr. Adams] SPOT gets me to
the bedside faster. It empowers the nurses to
bring me to the bedside. It helps them identify who’s sick
so that I can know where to go. – I mean, SPOT is not making decisions but
it’s bringing the information to the people who need to make decisions. And so, it highlights a patient,
it calls our attention to a patient and we get to go and say, well,
quite early, “Is this person sick?” If they are, then we are able to
intervene much earlier. – Time is life and this gives clinicians
and patients 18 to 24 hours of earlier alert and saves lives. ♪ [music] ♪

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