Dr. Ranganathan, The data collection and electronic, payment systems are so different than yours in the UK that you may have to extrapolate mine as described into your systems/data to know what data to pull (assuming you find this useful info).
We have ICD9 codes that every patient is assigned based on diagnosis and thus payment ....every month our hospital IT folks pull the 4 codes used (septicemia, sepsis, severe sepsis and septic shock) on all discharged patients from the prior month. I then sort them by diagnosis and I have all the patients for each diagnosis (some patients may have all 3 or 4 codes...depends on how the doctor documents the diagnoses). I put them into a spreadsheet with patient name, acct number and diagnosis. So I have a fairly good accounting of my volumes. I also have a custom report made and run daily on our electronic patient care system that pulls all the lab drawn lactates and POC (point of care - an Istat bedside lactate level done in ED and RRT situations) Lactates that include patient names & account numbers. I am then likely to get all possible septic patients as they would have had a lactate drawn (hopefully!). And lastly, I pull a custom report also from the patient care database that gives me all positive sepsis screenings done by the nurses every 12 hours on all patients house-wide and in ED. These reports often duplicate each other but it also helps me know if lactates were not done on positive screened patients, if there are false positive screens, etc. I have also attached a quality indicator spreadsheet that is filled out on all charts reviewed for Severe Sepsis and Septic Shock cases ...this can then be reviewed with doctors, nurses and compiled so that we know how well we are following protocol and meeting EGDT. Please let me know if I can offer any other info. Peggy Peggy Sienecki, RN Sepsis Coordinator Fawcett Memorial Hospital Port Charlotte, Fl [cid:[email protected]] From: [email protected] [mailto:[email protected]] On Behalf Of Dr.Mohan Ranganathan Sent: Thursday, September 06, 2012 9:24 AM To: Ron Elkin; Dr.Sunil T Pandya Cc: [email protected] Subject: [Sepsis Groups] Monitoring sepsis care 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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Chart Review Form.xlsx
Description: Chart Review Form.xlsx
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