We use: Sepsis Summary by Diagnosis Code Severe Sepsis w/o Septic Shock: 995.92 without 785.52 Severe Sepsis with Shock: 995.92 and 785.52 Septic Shock w/o Severe Sepsis: 785.52 without 995.92
However, I do also pull unspecified septicemia, sepsis, septic shock, severe sepsis and match patients up with those codes above to be sure I have all the patients with anything "sepsis" in their diagnoses for chart review. I focus my attention strictly on severe sepsis and septic shock patients for data collection purposes. Peggy Sienecki, RN Sepsis Coordinator HCA Fawcett Memorial Hospital Port Charlotte, FL -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of Ackerman, Michael Sent: Monday, May 13, 2013 4:55 PM To: [email protected] Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 57, Issue 2 What codes did you run for your discharge codes to look at mortality rate? -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, May 13, 2013 3:07 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 57, Issue 2 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: Sepsis bundle ([email protected]) ---------------------------------------------------------------------- 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 Message-ID: <f05d8df1fb25f44085db74cb916678e8879d777...@nadcwpmsgcms10.hca.corpad.net> Content-Type: text/plain; charset="us-ascii" 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" ~Voltaire~ This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email. -----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 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: patient population (Jessica Harkey) ---------------------------------------------------------------------- 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. 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