The only patients we exclude are those made Comfort Care within 24 hrs of 
admission and a transfer from an outside hospital.  Everyone else is included.



Cathy Stewart RN, BSN, CCRN

Clinical Research Nurse

Quality Benchmarking & External Reporting

St. Joseph Mercy Hospital, Ann Arbor

Phone:  734-712-1364

FAX:  734-712-7099

[email protected]<mailto:[email protected]>



*As of October 1, 2014, my work email address is 
[email protected]<mailto:[email protected]>.  
Please send all future emails to my new address and update your address list.  
My old email address will remain active until March 2015.



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 
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________________________________
From: Sepsisgroups [[email protected]] on behalf of 
Barnes-Daly, Mary Ann [[email protected]]
Sent: Monday, November 03, 2014 2:40 PM
To: 'Dorosh, Editha'; '[email protected]'
Subject: Re: [Sepsis Groups] Exclusion criteria for Sepsis Protocol

DNR and DNI are definitely included unless made comfort care

Thanks,

MARY ANN BARNES-DALY RN BSN CCRN DC  | Clinical Performance Improvement 
Consultant
Sutter Health - Clinical Integration Department | 2200 River Plaza Drive, 
Sacramento, CA 95833
Mobile 916.200.5604| Office 916.286.6717  | [email protected]

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Dorosh, Editha
Sent: Thursday, October 30, 2014 12:49 PM
To: [email protected]
Subject: [Sepsis Groups] Exclusion criteria for Sepsis Protocol

Please clarify if you use the following exclusion criteria for the 3 hour and 6 
hour bundles

*         DNR, DNI

*         Comfort Measure

*         Status post arrest on presentation to ER and expiration within 24 
hours post arrest

Will truly appreciate any clarification.


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