Thanks for asking this questions - I have a similar one. My read of the specification manual suggests to me that when using the 3-criteria method (meaning there was no documentation of severe sepsis by an MD/NP/PA), you need to have all 3 within a six hour period. In the instance you gave below, if this is truly the only relevant data points that exist, then I would say that this patient does not have a Severe Sepsis Time and would fall out of the measure.
A related question is for our presentations on a medsurg unit after admission. MD progress notes are for the most part daily. If we already have infection documented on a daily progress note, do we also need to find it documented again within that six hour window? My read says yes, but I want to make sure I'm correct. Thanks Joe Joseph Clement, MS, RN, CCNS Clinical Nurse Specialist San Francisco General Hospital ph: 415206-6174 pg: 415 327-0220 ________________________________________ From: Sepsisgroups <[email protected]> on behalf of Rona Capps <[email protected]> Sent: Friday, October 16, 2015 11:20 AM To: [email protected] Subject: [Sepsis Groups] severe sepsis determination Please help. The Spec manual states that criteria must be found within 6 hours of each other to qualify for the severe sepsis diagnosis but many charts that I review are delayed in one thing or another. Current chart example that meets specific criteria: 9-22 @ 2121 lactate =2.1 organ dys 9-22 @ 2255 HR = 111 SIR 9-23 @ 1600 documentation of pneumonia Infection 9-24 @ 0550 WBC = 14.3 SIR 9-24 @ 0832 RR = 24 SIR As you can see the time span is great. 2 SIRs, Infection and organ dysfunction all met at 9-24 @ 0550 but did not take place within 6 hours of each other but rather days. Severe sepsis is NOT documented by physician. Do I say NO to severe sepsis question? Thank you Rona Capps, RN Sepsis/VTE/Meaningful Use Quality Coordinator Jackson Hospital Montgomery, AL 36116 [email protected] ************* _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
