Does your facility obtain lactates on patients with acute appendicitis or cholecystitis? Karin Molander MD MPHS Burlingame CA
Sent from my iPhone On Sep 7, 2012, at 9:28 AM, "Jessica Harkey" <[email protected]> wrote: > 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 > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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