Dear list-serv members,
Currently our heath care system is struggling to reduce our mortality with 
lactic acids >4. Our overall mortality is 23.7% with a target goal of 14.1%; we 
are improving on this. However, we can't seem to reduce our mortality rate with 
lactic acids of 4 or greater. Currently, in this range, our system has a 39.3% 
mortality with one of our facilities running in the 60% range.  I am wondering 
how others are dealing with this and I am looking to see if others have seem 
improvements on specific strategies.  For background purposes, we began our 
program Jan 2013, have implemented sepsis order sets (not great compliance), ED 
screening tool, and an inpatient acknowledgement screen assessment. This last 
month, we only had 3 RRTs related to sepsis. We do have physician champions and 
I am sending good cases and "need improvement" emails to leadership. Looking 
for creative  methods to reduced our mortality. Any suggestions is greatly 
appreciated.

Lisa Dumont MSN-sepsis coordinator
Southcoast Hospital System
[email protected]




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