You need to realize that this method is limited by the fact that coded data grossly underestimates the incidence of severe sepsis in the hospital and it overestimates the severity (and mortality). So your measured mortality rate is likely much higher than what it truly is in your population (had you screened prospectively). The problem is that prospective screening (or even retrospective screening of all records) is much too difficult to do for QI purposes. Barry
From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, December 03, 2012 8:56 AM To: [email protected]; [email protected] Subject: Re: [Sepsis Groups] mortality I count by discharge ICD9 code...so anyone with severe sepsis &/or septic shock get counted for that month upon discharge...separate stats for each code. Peggy Sienecki, RN Sepsis Coordinator Fawcett Memorial Hospital Port Charlotte, FL From: [email protected] [mailto:[email protected]] On Behalf Of CARIANN M DAHLQUIST Sent: Wednesday, November 28, 2012 2:29 PM To: [email protected] Subject: [Sepsis Groups] mortality Hello fellow sepsis coordinators, I am inquiring how everyone counts their sepsis mortality. I am curious if you count each patient chart or if you count by patient days? I currently only audit the critical care patients, however I am looking to expand to house wide. Any input would be appreciated- Thanks, CariAnn ------------------------------------------------------------------------ ------------------------------------------- CONFIDENTIAL & PRIVILEGED COMMUNICATION This email and any files transmitted with it are confidential, may contain privileged or copyright information, and are intended solely for the use of the intended recipient. If you are not the intended recipient of this email, you are required to notify the sender immediately and delete this email from your system. You may not copy, distribute or use this email or the information contained in it for any purpose other than to notify the sender. We do not guarantee that this material is free from viruses or any other defects although due care has been taken to minimize the risk. Any views expressed in this message are those of the individual sender, except where the sender specifically states them to be the views of Altru Health System. The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message.
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