Our hospital is beginning a sepsis clinical pathway. Up until now, we have been 
near 100% with our antibiotic selection choice for the community acquired 
pneumonia core measure.  There is a great deal of institutional concern that we 
might begin failing this metric if we give broad spectrum antibiotics to our 
severe sepsis/septic shock patients and they are ultimately diagnosed with CAP. 
 How are other institutions dealing with the conflicting imperatives? 


-Andy

__________________________
Andrew Markowski, M.D., M.P.H.
Department of Emergency Medicine
Suburban Hospital
214-766-0665

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