How Isle of Wight NHS Trust Improved Sepsis Reporting with Medicus Outreach
Isle of Wight NHS Trust providesacute, community, mental health and ambulance services to the island. Itscritical care outreach team uses Medicus Outreach to record patient referralslive, giving the whole team a shared view of activity and stronger sepsis data.
Challenges
- Patient referrals tracked on spreadsheets and a manual handover sheet, with data entered after handover rather than at the point of contact
- Referrals easily missed, so sepsis data was significantly undercounted
- No shared, live view of caseloads across the outreach team
- Hard to track or evidence one-hour antibiotic delivery, a key infection control requirement.
Solutions from Medicus
- Move outreach referrals onto Medicus Outreach for centralised, live data capture
- Integrate with the Trust’s GE Centricity EPR via HL7 ADT, eliminating duplicate patient data entry
- Add new sepsis features with support from the Mela team, including tracking of antibiotic administration within one hour
- Enable Sepsis Six compliance and deteriorating patient activity in one place, giving practitioners the evidence base for audit and QI
- Give the whole outreach team a shared, live view of caseloads
- Provide a full audit trail of outreach activity.
Results
- Patient details auto-populate from GE Centricity EPR, reducing manual entry and improving accuracy from first contact
- Supports team to highlight and monitor high-risk sepsis patients
- Practitioners have real-time visibility of team caseloads, removing the need for post-handover data entry
- Antibiotic timing within one hour is tracked and can be evidenced for infection control
- Compliance gaps are clearer, with missing data flagged rather than estimated
- Documentation queries are resolved instantly via the audit trail.
67% rise in referrals
Live team visibility
Single point data entry
Customer Feedback
With over 20 years of experience, Ava De Perio has been a dedicated Advanced Clinical Practitioner within the Critical Care Outreach Service at Isle of Wight NHS Trust.
With over 20 years of experience, Ruby Castillo is an Advanced Clinical Practitioner in the Critical Care Outreach Service at Isle of Wight NHS Trust, supporting the early recognition and management of deteriorating patients across the organisation.
Improving Visibility, Accuracy, and Care Delivery
Ruby and Ava have each spent more than two decades in critical care outreach at Isle of Wight NHS Trust. Between them they bring 49 years of experience, and they are among the most active users of Medicus Outreach.
Before Medicus, the team tracked referrals on spreadsheets alongside a manual handover sheet. Data was entered after handover rather than at the point of contact, so referrals were easy to miss, and sepsis figures were undercounted. The team had wanted an electronic system built around outreach for a long time. After they trialled Medicus first, the team adopted it for live, centralised data capture.
Real Time Sepsis Capture with Medicus Outreach
Recording referrals live changed the team's sepsis data straight away. Captured sepsis referrals rose around 67%, because entries are made as patients are seen rather than reconstructed after the event.
Live data also gave the team shared visibility. Two practitioners can see each other's caseloads through the day, and no one spends time updating records after handover.
Infection control asked the team to evidence that antibiotics were given within one hour. With support from the Mela team, this was added through new sepsis features, so the timing is now tracked and can be evidenced.
The same live record makes compliance gaps easier to find. The team treats a missing entry as non-compliance rather than estimating, which gives an accurate picture of where data still needs chasing.
Connecting Outreach to the Existing EPR
Medicus Outreach connects to the Trust's GE Centricity EPR through an HL7 ADT integration. When a practitioner enters a hospital number, patient details populate automatically from the EPR, which cuts manual entry and keeps records accurate from first contact.
With referral data, sepsis tracking and patient information in one place, the outreach team at Isle of Wight Trust now has a single, reliable record of its activity, and a platform that continues to develop alongside the service.
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