Hello SSC We recently started abstraction into the SSC database and we have quite a few questions. Please respond back with answers/guidance so we can correctly abstract to give us and the benchmark group accurate data. Thank you very much, Wendy 1. What is supposed to be used for "Date/time of screening" on Screen 2. In our institution, we don't document the time we screened a patient, we only document Time Zero (Presentation Time) 2. If a patient transfers to us from another hospital with a diagnosis of Septic Shock, what to we use as "Date/time of screening" AND what do we use for "Time Zero" 3. We find the instructions surrounding Blood Culture/Antibiotic timing confusing. Can someone send us an example or another descriptor that is a bit more clear 4. If fluid completion time is not documented, what do we do? 4.5 BP-Fluid Resuscitation tab. question 7d, for how long does the MAP need to remain >= 65 for the question "did MAP rise and remain >= 65". ex. if it rose and remained for 3 hrs, but then dropped how do we answer this question. 5. In our institution, we count a Lactic Acid >4 as Septic Shock. Is there any plan for SSC to do this in the future? 6. How do we document date/time for a CVP line that was in place prior to admission 7. If a patient is made comfort care within 24 hours, do you include them in the database? 8. How often do you recommend Export/Transfer of data Thank you very much for your time, Wendy Wendy Nieman RN Medical & ICU Quality Coordinator (734) 712-1151 Quality Benchmarking and External Reporting, Practice Improvement Department St. Joseph Mercy Hospital 5301 East Huron River Drive Reichert Health Building Suite 3112 Ann Arbor, Mi 48104
CONFIDENTIALITY NOTICE: this communication contains information from APACHE Outcomes, a St. Joseph Mercy Hospital Ann Arbor Quality Improvement initiative. This information is for in house Quality Improvement only. This email may be CONFIDENTIAL, LEGALLY PRIVILEGED, PROPRIETARY, or otherwise protected from disclosure. This information in intended for use only by the person to whom it is addressed. If you are not the intended recipient, any use, disclosure, copying, distribution, printing, or any action taken in reliance on the contents of this communication, is strictly prohibited. Please return this email if you have erronerously received this. Thank you. This is a confidential professional/peer review and quality improvement document of Saint Joseph Mercy Health System and the Trinity Health system of providers. It is protected from disclosure pursuant to the provisions of MCL 333.20175, 333.21513, MCL 333.21515, MCL 333.16222, MCL 331.531, MCL 331.533, MCL 330.1748, MCL 330.1143a, and other state laws as well as the federal Patient Safety and Quality Improvement Act, 42 U.S.C. 299b-21-b-26 and other federal laws. Unauthorized disclosure or duplication is absolutely prohibited.
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
