Can anyone share the metrics you are using to measure sepsis bundle compliance? Curious about what specific metrics are being used for the maintenance bundle (vasopressors, SCVO2 etc) and how they are collected and tracked.
Thanks Dawn Clinical Excellence Outcomes Coordinator Methodist Healthcare System 210-487-1197 -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of Rohrbach, Dawn Sent: Wednesday, May 08, 2013 6:18 PM To: [email protected] Subject: Re: [Sepsis Groups] Sepsis bundle Hi- So in answer to what patient population that we look at and when; - We look at all patients regardless of admission location. We pull our initial list of patients from the Sepsis Risk List in Amalga and our RRT nurses assess them and check to see if they are meeting the bundle elements. -These are patients who are currently admitted and identification/assessment by the RRT nurse should take place in the first 4 hours of admission (POA) or meeting clinical criteria (NPOA) -Some of the patients in the Amalga Sepsis Risk List will not be final coded with Severe Sepsis or Septic shock and will not be included in the final data. -However, the goal of looking at all of them is to ensure that they receive best practice care on the front end -In addition to this, our quality nurse assigned to Sepsis pulls a report out of Epic for all patients who are final coded with Severe Sepsis and Septic Shock after discharge. -This list determines the final sample of patients who are include in our sepsis reports for mortality and bundle compliance. Thanks, Dawn Rohrbach CCRN Providence St. Patrick Hospital ACM ICU/ STAT nurses Missoula, MT. -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Wednesday, May 08, 2013 1:08 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 56, Issue 7 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. Sepsis bundle (Lisa Dumont) ---------------------------------------------------------------------- Message: 1 Date: Tue, 7 May 2013 12:47:39 +0000 From: Lisa Dumont <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Sepsis bundle Message-ID: <3d9bcdca669b2d44805250f18beb3b142183c...@cmhvwexchdb01.southcoast.org> Content-Type: text/plain; charset="us-ascii" 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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