We use the 1st triage vital signs time as Time Zero, as we found this was more reliable and reproducible than "triage start time" or "triage complete." This is typically only a matter of minutes but is less reliant on human entry and thus error for an accurate time stamp. We based this off of the SSC statement of:
"Time zero must offer the best balance of reliability and reproducibility while optimizing the value of the performance improvement program to early diagnosis and appropriate treatment of severe sepsis." Thanks, Dustin Pierce, BSN, RN, CPHQ | Quality Outcomes Coordinator | Sepsis & VTE Coordinator | Quality & Safety The University of Kansas Hospital Phone 913-588-4819| [email protected]<mailto:[email protected]> 3901 Rainbow Blvd. Kansas City, Kansas 66160 "Things turn out the best, for the people who make the best of the way things turn out." - John Wooden From: Sepsisgroups [mailto:[email protected]] On Behalf Of Mary Draper Sent: Tuesday, April 07, 2015 11:48 AM To: 'Gerolamo, Jeannine'; [email protected] Subject: Re: [Sepsis Groups] time zero We use "triage time". This is based on the 2012 SCCM Surviving Sepsis Guidelines. Mary Draper RN BSN CCRN Quality Manager-Best Practice Support Quality Management Supervisor Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected]<mailto:[email protected]> [Magnet] From: Sepsisgroups [mailto:[email protected]] On Behalf Of Gerolamo, Jeannine Sent: Monday, April 06, 2015 8:12 AM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] time zero I am looking for information on how you identify "time zero" and where/how in the EMR you are documenting. Thanks. ________________________________ ****************** CONFIDENTIALITY NOTICE ********************** This e-mail contains LEGALLY PRIVILEGED AND CONFIDENTIAL INFORMATION intended only for the use of the recipient named above. If you are not the intended recipient, you are hereby notified that any dissemination or copying of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify the transmitting hospital by telephone or e-mail and delete the original e-mail received in error. THIS INFORMATION HAS BEEN DISCLOSED TO YOU FROM RECORDS WHOSE CONFIDENTIALITY IS PROTECTED BY STATE AND FEDERAL LAW. ANY FURTHER DISCLOSURE, COPYING, DISTRIBUTION OR ACTION TAKEN IN RELIANCE ON THE CONTENTS OF THESE DOCUMENTS WITHOUT THE PRIOR WRITTEN CONSENT OF THE PERSON TO WHOM IT PERTAINS IS PROHIBITED. YOU ARE REQUIRED TO DESTROY THE INFORMATION AFTER THE STATED NEED HAS BEEN FULFILLED.
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