On reviewing version 5.0 CMS data element organ dysfunction criteria, there are no respiratory or AMS criteria listed. In our experience septic inpatients are frequently identified as having severe sepsis based on meeting 2 SIRS criteria and having increasing oxygen needs, decreasing SpO2, or acutely altered mental status, and are transferred to the ICU before they decompensate further. Can anyone speak to why these criteria were eliminated, and will they be kept in your hospital's screening protocol?
Thanks, Martina Martina Adams, BS, RN, CCRN, FCCS Rapid Response Team Pager: 414-590-5907 [email protected]<mailto:[email protected]> Froedtert & the Medical College of Wisconsin 9200 W. Wisconsin Avenue Milwaukee, WI 53226 froedtert.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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