Leveraging the electronic medical record (EMR) to improve sepsis care in cancer outpatients.

319Background: Sepsis is a life-threatening organ dysfunction caused by a dysregulated response to infection and a major healthcare problem in cancer patients. Patients with cancer are at increased risk of morbidity and mortality from sepsis. Approaches like the modified Early Warning Score (mEWS) could offer an opportunity to identify patients at risk for sepsis earlier and to prompt a timely evaluation. However, available evidence for cancer outpatient settings remains scarce. The aim of this presentation is to describe first results of the mEWS implementation at Huntsman Cancer Hospital (HCC) outpatient clinics. The question, whether patients with sepsis can be detected using this approach will be answered. Methods: In 2015, the University of Utah Healthcare implemented mEWS as prediction tool for sepsis. The automated calculation of mEWS is based on real-time data from the EMR. For this analysis, we extracted a cancer outpatient population from a 15-month time frame (from December 2016 to February 201...