Hello there. I also struggle with capturing our sepsis patients outside of the ICU as well. For purposes of performance data collection I am focusing on all patients admitted to the ICU with severe sepsis or septic shock. It is much easier to start with a smaller group, and initially we reported on only those admitted to the ICU from the Emergency Dept. I also report on ALL mortalities regardless of point of entry to the hospital. To help me better find the patients as close to real-time as possible who may be in-house and will benefit from follow-up, each morning I run a report of lactic acid results and review the electronic census for each nursing unit to look for diagnoses/chief complaints of sepsis or other infectious processes, hypotension, etc. I also receive notification from our concurrent coding staff as well as monthly reports from decision support of patients discharged with severe sepsis/septic shock and from that report I pull the mortalities. Overall until we establish a consistent & solid house-wide screening process and implement our Sepsis Alert process I expect some patients to fall through the cracks when it comes to including them in our data collection. Lots of work ahead! Good luck, I hope I was able to help.
Jessica Harkey, RN, BSN, CCRN Sepsis Program Coordinator San Joaquin Community Hospital 2615 Chester Avenue Bakersfield, CA 93303 661-869-6874 [email protected] >>> "Dr.Mohan Ranganathan" <[email protected]> 9/6/2012 6:23 AM >>> Dear all, Does any one know how to audit/monitor the care given to sepsis patients. My hospital is asking us to monitor and report back the sepsis care. Presently we do not have any system to do this. We take info. given by outreach nurses (who are all ICU trained) to capture sepsis patients currently. This does not capture all the sepsis patients in the hospital since some patients are not that unwell to require outreach nursing care. I thought of asking all of you, especially people from UK if you have any system/way to capture all the sepsis patients in your hospital. I remember Ron Daniels replied something along this line in another e-mail few months ago. I would be grateful for your reply. Many thanks in advance Mohan Dr Mohan Ranganathan Consultant Anaesthetist Lead for sepsis George Eliot Hospital NHS Trust Nuneaton UK
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