We would use the time it was reported.
Jeffrey R Hanlon RN Stamp Out Sepsis -----Original Message----- From: Sue Beswick <[email protected]> To: '[email protected]' <[email protected]> Sent: Thu, Feb 7, 2013 2:35 pm Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 44, Issue 12 If you wait for WBC/Bands to come back to complete SIRS criteria - do you use time drawn or result time? We don't have a good way to see when staff notice that they have results back. Sue Beswick RN, MS, CCNS, CCRN Clinical Nurse Specialist - MSICU Greenville Hosptial System University Medical Center Greenville, SC Office: 864-455-4884 AACN Theme "Dare To" What are you going to dare to do this year? -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Thursday, February 07, 2013 9:46 AM To: [email protected] Subject: Sepsisgroups Digest, Vol 44, Issue 12 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: Time Zero (Jeffrey R Hanlon RN) 2. Re: Time Zero (Ron Daniels) ---------------------------------------------------------------------- Message: 1 Date: Wed, 6 Feb 2013 20:57:30 -0500 (EST) From: Jeffrey R Hanlon RN <[email protected]> To: [email protected], [email protected] Cc: [email protected], [email protected], [email protected], [email protected] Subject: Re: [Sepsis Groups] Time Zero Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" Our time zero starts when the patient declares. If the SIRS criteria are met at triage then that is time zero. Should the patient for example have just tachycardia noted in triage and the WBC count comes back elevated that is time zero. Jeffrey R Hanlon RN Stamp Out Sepsis -----Original Message----- From: Ron Daniels <[email protected]> To: Karin Molander <[email protected]> Cc: Jacqui.Jones <[email protected]>; f.gaosmith <[email protected]>; sepsisgroups <[email protected]>; isabel.gonzalez <[email protected]> Sent: Wed, Feb 6, 2013 3:18 pm Subject: Re: [Sepsis Groups] Time Zero Thanks Karin, I understand the pragmatic reasons behind it, but personally I'm uncomfortable with using ICU admission time unless you can be certain there are never any delays in recognition, referral and ICU admission for ward-based patients. In the UK, this is far from the case and I would urge organizations not to measure only the performance of their ED and ITU (if there is no reliable temporal relationship between ward-based onset and ICU admission, this will ultimately have the effect of demonstrating non-efficacy of EGDT anyway). Kind regards Ron On Tue, Feb 5, 2013 at 3:58 PM, Karin Molander <[email protected]> wrote: We use Triage Time in ED for Sutter system. For those cases of sepsis caught on the wards, we use time of arrival to the ICU for time zero for start of EGDT bundle. Karin Molander MD FACEP Mills Peninsula Hospital Sutter On Tue, Feb 5, 2013 at 2:10 AM, Heather McClelland <[email protected]> wrote: Happy to be involved. Heather -------------------------- Sent from my BlackBerry Wireless Device ----- Original Message ----- From: Ron Daniels [mailto:[email protected]] Sent: Friday, February 01, 2013 10:08 PM To: Jones Jacqui (RTR) South Tees NHS Trust <[email protected]> Cc: Gonzalez Isabel (SOUTH TEES HOSPITALS NHS FOUNDATION TRUST) <[email protected]>; Fang Gao Smith <[email protected]>; <[email protected]> <[email protected]> Subject: Re: [Sepsis Groups] Time Zero Fang, this sounds like an opportunity for a global sampling of volunteer organizations. Ron Dr Ron Daniels Chair: UK Sepsis Trust CEO: Global Sepsis Alliance Sent on the move from my iPhone, excuse brevity! On 1 Feb 2013, at 13:40, "Jones Jacqui (RTR) South Tees NHS Trust" <[email protected]> wrote: > Hi Dr Fang Gao > > I would be very interested in participating in your next prospective > cohort study on behalf of South Tees NHS Trust. I currently collect data > on around 35 of our patients with severe sepsis each month. I look at > the time to each element of the sepsis six from time zero alongside > factors which influence the standards of care delivery. > > > > Regards > > Jacqui > > Jacqui Jones > Sepsis Specialist Nurse > South Tees Hospitals NHS Foundation Trust > 01642 850850 ext 56969 bleep 1008 > email [email protected] > > Suspect Sepsis: save someone's life today. > > > Sign our e-petition at http://epetitions.direct.gov.uk/petitions/19602 > > > > > -----Original Message----- > From: [email protected] > [mailto:[email protected]] On Behalf Of Fang > Gao Smith > Sent: 31 January 2013 21:01 > To: Jessica Harkey; [email protected] > Cc: Melody Teresa > Subject: Re: [Sepsis Groups] Time Zero > > Dear Jessica > We did a prospective cohort study on determining 'time zero' of severe > sepsis amongst critical care team 3-4 years ago with very interesting > results. Teresa, our dept manage should be able to feed you with more > information. Your suggestion has prompted us to consider to repeat this > study after 3-4 years sepsis education. Would you be interested to > participate? > > Best wishes > Fang > > > Fang Gao > Professor in Anaesthesia, Critical Care and Pain > Perioperative, Critical Care and Trauma Trials Group > School of Clinical and Experimental Medicine > University of Birmingham > > Academic Department of Anaesthesia, Critical Care, Pain and > Resuscitation > MIDRU Building > Birmingham Heartlands Hospital > Heart of England NHS Foundation Trust > > > [email protected]; [email protected]<mailto:[email protected]>; > 07711823212 > > Patricia Mponela: 0121 3713243; > [email protected]<mailto:[email protected]> > > Dawn Hill: 0121 424 2966; > [email protected]<mailto:[email protected]> > > > > From: Jessica Harkey <[email protected]<mailto:[email protected]>> > Date: Thu, 31 Jan 2013 17:10:03 +0000 > To: > "[email protected]<mailto:[email protected] > ups.org>" > <[email protected]<mailto:[email protected] > ups.org>> > Subject: [Sepsis Groups] Time Zero > > Hello, all- > We had some very good discussion at our last team meeting about defining > "time zero" for the bundle. Currently for the ED we use triage time. > Would anyone be willing to share what you use as time zero to begin > implementation of the bundle? > Thank you, > > > Jessica Harkey, RN, BSN, CCRN > Sepsis Program Coordinator > San Joaquin Community Hospital > 2615 Chester Avenue > Bakersfield, CA 93303 > 661-869-6874 > [email protected]<mailto:[email protected]> > > [cid:MBFOHERTDJDT.IMAGE_5.BMP] > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org -- Dr Ron Daniels CEO: Global Sepsis Alliance Chair: United Kingdom Sepsis Group Principal Trustee: U.K Sepsis Trust Founding Director: Survive Sepsis Fellow: NHS Improvement Faculty Suspect Sepsis: save someone's life today. Join us for World Sepsis Day on September 13th Twitter: @sepsisuk _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20130206/4c42657e/attachment-0001.htm> ------------------------------ Message: 2 Date: Wed, 6 Feb 2013 21:12:29 +0000 From: Ron Daniels <[email protected]> To: "Hunter, Patricia" <[email protected]> Cc: "<[email protected]>" <[email protected]> Subject: Re: [Sepsis Groups] Time Zero Message-ID: <[email protected]> Content-Type: text/plain; charset="us-ascii" ICD 10 would be A400-419.. Dr Ron Daniels Chair: UK Sepsis Trust CEO: Global Sepsis Alliance Sent on the move from my iPhone, excuse brevity! On 6 Feb 2013, at 17:33, "Hunter, Patricia" <[email protected]> wrote: > Our Hospital currently performs Sepsis audits on ED and IP. We are relying > on clinical personnel to capture sepsis patients for the audit. There is much discussion about moving the audit to more retroactive and pulling those patients with codes specific to Sepsis. Is anyone doing auditing relying on coding solely? > If so, what ICD9 Codes are you using to pull data? > > Thanks, > Pat > > > Patricia Hunter, RN > Clinical Data Analyst > Performance Excellence > Mercy Medical Center - Des Moines, Iowa > 515-643-2206 > > "Life is not about waiting for the storms to pass... > it's about learning to dance in the rain!" > > > This electronic mail and any attached documents are intended solely for the named addressee(s) and contain confidential information. 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