Bold Voices - June 2014 - (Page 15)

AT THE BEDSIDE Online Game Helps Students Identify, Manage Sepsis iPad, iPhone game offers a case-based interactive learning environment using evidence-based treatment algorithms. A © ments in both attitudes and knowledge," says lead author Lisa Shieh, Stanford's medical director of quality in the Department of Medicine. "We tried to make the game as engaging and real-life as possible," says Shieh, who adds that all participants said they enjoy playing Septris. The Stanford team is connected with the Society of Critical Care Medicine's Surviving Sepsis Campaign ( and other international medical groups. The game can be accessed online for free at, with a nominal fee for continuing medical education credit. Sepsis Detection System More Effective in Patient Diagnosis L ockheed Martin, Fort Worth, Texas, has developed a sepsis detection system that uses statistical analysis to diagnose patients more effectively, reports "Defence Company Takes Missile Tech to Hospitals" explains that the system uses a series of sensors to gather data, such as vital signs and lab results, and create a time series. It monitors patients over several days to determine what is normal for them. Putting this system to the test, the Lockheed Martin team conducted a trial using 100 data records from patients and then, after promising results, received a set of 4,500 blind records. The system reportedly produced fewer false alarms (less than 1 percent) and diagnosed patients correctly 14 to 16 hours ahead of the current system used by physicians, the Systemic Inflammatory Response Syndrome method. A physician making rounds may check current vitals only, according to Macy Summers, vice president of strategic planning at Lockheed Martin. Physicians may look at stats from yesterday or a few hours ago, but they cannot keep large numbers of variables in mind, Summers tells, adding, "It turned out our system found several patients that had been septic and recovered on their own or some that had expired and had not been coded as septic as reason for death." Lockheed Martin recently partnered with the University of Miami Health System, Miller School of Medicine. They plan to develop similar ways to harness the vast amounts of hospital data to develop predictive models and build automated systems. University of MiamiLockheed Martin collaboration uses missile sensors to gather data and determine a patient's normal patterns. 15 AACN BOLD VOICES JUNE 2014 n online game developed by a team at Stanford University Medical Center, Palo Alto, Calif., is helping students learn how to identify and manage sepsis, according to an article in The Hospitalist. "Hospitalists Use Online Game to Identify, Manage Sepsis" notes that the game, called Septris, offers a casebased interactive learning environment drawn from evidence-based treatment algorithms. Players make treatment decisions and watch as the patient's outcome improves or declines. The game's rapid pace underscores the importance of early diagnosis and treatment. Points are awarded for correctly managing patients and answering questions. Developed by a multidisciplinary group of physicians, educational technology specialists and programmers at Stanford, Septris is best played on an iPad or iPhone. "We took third-year medical students and residents in medicine, surgery, and emergency medicine - people who would be sepsis first responders on the floor - and gave them pre- and post-tests that documented improve-

Table of Contents for the Digital Edition of Bold Voices - June 2014

Another Angle
Pres Note Teaser
‘Take a Chance to Make a Change in Your Patients’ Lives’
New Mobile App Launched: AACN Bedside
AACN Research Grants Continue to Drive Evidence-Based Care
AACN Scholarships to Develop Training Skills and Professional Growth
Institutional Racism Can Damage Healthcare
Culture of Violence Becoming Normal
Nip Ethical Violations in the Bud
Up to Half of Prescribed Antibiotics Unnecessary, Inappropriate
Minimal Sedation, Early Mobilization May Reduce Delirium
Care Transition Programs Reduce Readmissions, Penalties
Unclear Relationship Between Hypothyroidism and Mild Cognitive Impairment
Women Have Unique Stroke Risks
Costs Increase Because of More Inpatient Constipation
Nursing-Supportive Work Environments Linked to Better Care
Smile, You’re on ReadyCam!
Automated EHR-Linked Checklist Greatly Reduces CLABSIs
Online Game Helps Students Identify, Manage Sepsis
Sepsis Detection System More Effective in Patient Diagnosis
In Our Journals
Test Can Predict Breast Cancer Outcomes
Spice It Up With Cinnamon
IHEs: Significant Cause of Preventable ED Visits
Certification Capsules
With Deep Appreciation for Your Generosity
Save the Dates for Progressive Care, Nurse Manager Fall Conferences
AACN Chapters Model Excellence
‘I Am a Critical Care Nurse’
President’s Note

Bold Voices - June 2014