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We created automated extreme sepsis alerts through the digital medical record and paging system to help clinicians in rapidly pinpointing pediatric customers with extreme sepsis within our disaster department and inpatient products. Our Specific, Measurable, Applicable, Realistic, Timely aim was to improve 1-hour severe sepsis therapy bundle compliance to 60% with one of these electric interruptive alerts. We developed the alert's requirements on the basis of the 2005 Global Pediatric Sepsis Consensus defi