Evidence map›Paper›PMID 41559206›Full record

ArticleNPJ digital medicine2026

An artificial intelligence-powered learning health system to improve sepsis detection and quality of care: a before-and-after study.

Jérémie Despraz, Raphaël Matusiak, Snežana Nektarijevic, Valerio Rossetti, François Bastardot, Rachid Akrour, Andreas Konasch, Emeline Gauthiez, Olivier Pignolet, Santino Pepe and 6 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Jérémie Despraz *Biomedical Data Science Center, Lausanne University Hospital, Lausanne, Switzerland.
Raphaël Matusiak *Swiss Data Science Center, EPFL, Lausanne, Switzerland.
Snežana NektarijevicSwiss Data Science Center, EPFL, Lausanne, Switzerland.
Valerio RossettiSwiss Data Science Center, EPFL, Lausanne, Switzerland.
François BastardotClinical Informatics Unit, General Directorate, Lausanne University Hospital, Lausanne, Switzerland.
Rachid AkrourGeriatrics Service, Department of Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Andreas KonaschInternal Medicine Service, Department of Medicine, Lausanne University hospital, Lausanne, Switzerland.
Emeline GauthiezInfectious Diseases Service, Department of Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Olivier PignoletIT Department, Lausanne University Hospital, Lausanne, Switzerland.
Santino PepeMedical Directorate, Lausanne University Hospital, Lausanne, Switzerland.
Jean-Daniel ChicheIntensive Care Unit, Lausanne University Hospital, Lausanne, Switzerland.
Daniel E KaufmannInfectious Diseases Service, Department of Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Thierry CalandraImmunology and Allergy Service, Department of Medicine and Center for Human Immunology Lausanne and Department of Laboratory Medicine and Pathology, Lausanne University Hospital, Lausanne, Switzerland.
Jean Louis RaisaroBiomedical Data Science Center, Lausanne University Hospital, Lausanne, Switzerland.
Sylvain MeylanInfectious Diseases Service, Department of Medicine, Lausanne University Hospital, Lausanne, Switzerland. sylvain.meylan@chuv.ch.
CHUV Sepsis consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis is a major global health crisis where early recognition and effective management remain significant challenges for healthcare systems. As part of the Lausanne University Hospital sepsis quality of care program, we developed and validated an Artificial Intelligence (AI)-powered Sepsis Learning Health System (SLHS) to enhance sepsis care. The SLHS combines a standardized clinical pathway with HERACLES, an AI algorithm that retrospectively classifies patient data into confirmed, possible, or invalidated sepsis cases every 6 h. Predictions inform dynamic dashboards displaying quality-of-care indicators to guide clinical interventions. Analysis of 97,559 stays in wards using the SLHS and 25,851 stays in control wards showed that in-hospital and 90-day mortality decreased for HERACLES-flagged sepsis in SLHS wards, while control wards did not. Further, sepsis coding increased in SLHS wards but did not change in control wards. This real-world example demonstrates how clinician-integrated AI systems can improve sepsis detection and outcomes.

Identifiers

PMID41559206
PMCPMC12864897

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.