Hi All,
Our system has been trying to use DRG's to pull sepsis data. Our site collects concurrent data. When we cross-reference the patients, we find that patient data pulled electronically does not reflect our practice. Some patients in the electronic data do not even qualify for EGDT- such as infection, sepsis. We've also found patients in the electronic data that were administered palliative care and therefore not in our sepsis database. We've also had patients in our database that do not pull electronically because they are not coded properly or they had surgery and severe sepsis or shock is down the DRG chain. It would be great if electronic data was accurate because it makes data extraction easier. However, concurrent chart review so far in my experience is the only way to accurately perform CQI because the data is verifiable. Trying to drill down with comprehensive electronic data is more time consuming and does not provide immediate feedback to providers in time to affect outcomes. If anyone has found a way to accurately capture the patients electronically with the ability to cross-reference with clinical chart data, please let me know! Patty Cormack RN, MSN Critical Care Clinical Educator Sepsis Coordinator CV Coordinator Vanguard West Suburban Medical Center P 708-763-6662 Pager 630-255-6049 [email protected] <mailto:[email protected]> From: [email protected] [mailto:[email protected]] On Behalf Of Joseph Clement Sent: Tuesday, December 04, 2012 5:20 PM To: [email protected] Subject: Re: [Sepsis Groups] mortality Hello, We use a methodology used by many hospitals in the area, adapted from research by Viktor Dombrovskiy. It is based on ICD-9 codes only. There are no exclusion criteria. Patients in the denominator are those with either a sepsis code (995.91, 995.92, or 785.52) or both a code for infection (e.g. pneumonia) and a code for an organ dysfunction (e.g. acute renal failure). We have a specific list of codes we use if people are interested. Joe Joseph Clement RN, MS, CCNS Clinical Nurse Specialist San Francisco General Hospital phone: (415) 206-6174 pager: (415) 327-0220 [email protected] "CARIANN M DAHLQUIST" <[email protected]> Sent by: [email protected] 11/28/2012 11:28 AM To <[email protected]> cc Subject [Sepsis Groups] mortality Hello fellow sepsis coordinators, I am inquiring how everyone counts their sepsis mortality. I am curious if you count each patient chart or if you count by patient days? I currently only audit the critical care patients, however I am looking to expand to house wide. Any input would be appreciated- Thanks, CariAnn ------------------------------------------------------------------------ ------------------------------------------- CONFIDENTIAL & PRIVILEGED COMMUNICATION This email and any files transmitted with it are confidential, may contain privileged or copyright information, and are intended solely for the use of the intended recipient. If you are not the intended recipient of this email, you are required to notify the sender immediately and delete this email from your system. You may not copy, distribute or use this email or the information contained in it for any purpose other than to notify the sender. We do not guarantee that this material is free from viruses or any other defects although due care has been taken to minimize the risk. Any views expressed in this message are those of the individual sender, except where the sender specifically states them to be the views of Altru Health System. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of West Suburban Medical Center. This footer also confirms that this email message has been scanned for the presence of computer viruses.
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