Improving Access to High Quality Sepsis Care in a South Dakota Emergency Telemedicine Network


Key findings of this study are: 1) Telemedicine consultation for emergency department (ED) sepsis care is rare, but a dedicated utilization initiative modestly increased use; 2) A multi-pronged approach of nurse-directed screening, recommended consultation criteria, and real-time hub decision-support were implemented in a large rural ED-based telemedicine network; 3) Appropriately balancing the sensitivity of telemedicine consultation recommendations is critical to limit alarm fatigue and identify patients most likely to benefit.

Rural Telehealth Research Center
Nicholas Mohr, Brian Skow, Amy Wittrock, Amanda Bell, Jennifer McDanel, Brian Fuller, Steven Simpson, Marcia Ward