Has anyone used the SOFA score in their sepsis patients (not the qSOFA)?

Anita Siscoe-Hapshie

Anita Siscoe-Hapshie, RN, MSN, CCRN
Sepsis Coordinator
[email protected]<mailto:[email protected]>
Citrus Memorial Hospital
502 W. Highlands Blvd.
Inverness, FL 34452
Office 352.560.6214
Fax 352.726.9119

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From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Martie Mattson
Sent: Tuesday, September 27, 2016 1:40 PM
To: Reid, Kathryn S. <[email protected]>
Cc: [email protected]
Subject: [EXTERNAL] Re: [Sepsis Groups] SIRS+organ dysfunction vs. qSOFA/SOFA

I have some concerns with the using the qSOFA to determine necessity for 
further screening.  Since 2006, I have worked with over 15 hospitals in 
California and Washington to implement screening, and although I never 
collected any formal data regarding this, it is my stong impression that in the 
younger, generally healthier population who get septic, change in mental status 
and decreased blood pressure are more often later signs.  The younger person 
usually has a greater ability to compensate, so these signs don't show up until 
later in the septic process and we would miss the opportunity for early 
recognition that has been proven to reduce mortality.

I strongly feel that this tool needs to be validated concurrently in the 
inpatient and outpatient area clinical area before it is use is recommended as 
the best tool.



Martie Mattson, RN, MSN, CNS
Critical Care Consultant and Educator
Surviving Sepsis Protocol Implementation
[email protected]<mailto:[email protected]>
(415) 412-2364



On Thu, Sep 22, 2016 at 10:49 AM, Reid, Kathryn S. 
<[email protected]<mailto:[email protected]>> wrote:
Has anyone developed a successful marriage of the two screenings yet?  If so, I 
would be very interested in how you are using both effectively to capture the 
core measure population as well as use the new recommendations.

Thanks,
Katie

Katie Swink Reid, MPH, CPHQ
Quality Consultant
Performance Improvement & Outcomes
Inova Loudoun Hospital
44045 Riverside Parkway
Leesburg,VA 20176
T 703-858-6367<tel:703-858-6367> | 
[email protected]<mailto:[email protected]>



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