What codes did you run for your discharge codes to look at mortality rate?
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From: [email protected]
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Sent: Monday, May 13, 2013 3:07 PM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 57, Issue 2
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1. Re: Sepsis bundle ([email protected])
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Message: 1
Date: Wed, 8 May 2013 09:11:11 -0500
From: <[email protected]>
To: <[email protected]>, <[email protected]>
Subject: Re: [Sepsis Groups] Sepsis bundle
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<f05d8df1fb25f44085db74cb916678e8879d777...@nadcwpmsgcms10.hca.corpad.net>
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CariAnn,
We piloted HCA's Sepsis Initiative in Oct. 2010 -- since that time, we've
reduced our overall mortality for our Severe Sepsis with/without Septic Shock
from 60% to 32%.
I took the position in June of 2011 and since then have created and revised
numerous processes (along with my excellent team of coworkers) to do the most
good for the patient with the least amount of "clerical" work.
Currently, I run reports for lactates and procalcitonins daily. I identify
patients through that list, through our "positive sepsis screens" which are
done on EVERY patient in the ED and every patient every shift on the floors. We
are a 250bed facility and on any given day I have somewhere between 20-40
patients who I am "following" (this does not include our sister-facility who's
Sepsis program I also help to mangage.
Our current computer system (MediTech) has an attribute called status board
which allows me to see every patients current vital signs, which gives me a
quick overview of anyone who may have SIRS and then I determine whether I need
to look at them and speak with their physicians to better expedite their care.
I keep an "individual chart tool" on each patient which allows me to document
when certain goals are met, etc...
Hope all of this helps.
Please let me know if I can be of any further assistance.
mg
Leah "Michelle" Garrison, RN
Facility Sepsis Coordinator
Coliseum Medical Center
[email protected]
Office: 478-765-4164
Cell: 478-256-9848
"It is not our condition, but the caliber of our soul, that makes us happy"
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-----Original Message-----
From: [email protected]
[mailto:[email protected]] On Behalf Of Lisa Dumont
Sent: Tuesday, May 07, 2013 8:48 AM
To: [email protected]
Subject: [Sepsis Groups] Sepsis bundle
Hello,
Currently I look at data across all three sites and in all patient care areas.
We have a system that captures certain data on a monthly basis. In addition, we
also have reports that can be run on a daily or weekly basis. However, there
are still data that needs to be pulled manually. I am in the process of
developing a sepsis bundle beginning in the ED and focusing on 3 and 6 hr
interventions. Do you have one to share?
Thank you
Lisa Dumont MSN, RN
Sepsis Coordinator
South Coast Hospital group
[email protected]
-----Original Message-----
From: [email protected]
[mailto:[email protected]] On Behalf Of
[email protected]
Sent: Monday, May 06, 2013 5:33 PM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 56, Issue 4
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Today's Topics:
1. Re: patient population (Jessica Harkey)
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Message: 1
Date: Mon, 6 May 2013 09:38:31 -0700
From: "Jessica Harkey" <[email protected]>
To: "DAHLQUIST, CARIANN M" <[email protected]>,
[email protected]
Subject: Re: [Sepsis Groups] patient population
Message-ID: <[email protected]>
Content-Type: text/plain; charset="utf-8"
Hi, there. I look at all ICU admissions for sepsis. In addition, I run a
report on lactic acid results every day, and I look at all patients with a
level greater than 2. Then, of course retrospectively I receive a monthly list
from decision support of patients coded with DRGs 870, 871, 872 mostly so that
I can focus on mortalities as it is impossible for one person to review ALL
cases. At this time data collection for bundle performance is from the ED to
ICU severe sepsis/septic shock group.
It is not easy to find the patients in house in real time yet.
Good luck!
Jessica Harkey, RN, BSN, CCRN
Sepsis Program Coordinator
San Joaquin Community Hospital
2615 Chester Avenue
Bakersfield, CA 93303
661-869-6874
[email protected]
>>> "CARIANN M DAHLQUIST" <[email protected]> 5/3/2013 8:30 AM >>>
Hello,
I am curious as to how other facilities are abstracting their sepsis data. Are
you only gathering data from your septic patients in the critical care units or
are you abstracting data from all sepsis patients regardless of admission to
the ICU/SCCU/general medical floors?
We have 1 nurse collecting data currently and are looking at ways to capture
sepsis patients house wide. Attempts have been made to build reports that help
to identify septic patients, however they are not very clean reports yet. I am
inquiring if anyone has any additional ideas that we may try for sepsis
identification house wide.
Thank you,
CariAnn
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