Hello, How long do we review the record for septic shock? For example if a patient develops severe sepsis but Lactate <4 and not initially hypotensive, but then patient's Next Lactate <2 no other organ dysfunction, and then the patient crashes again and develops septic shock are we supposed to use this date/time. OR does septic shock present only count for the initial severe sepsis episode? Is there a timeframe between Severe Sepsis Presentation Time and Septic Shock Present Time? I know clinically we want to do everything possible, but want to make sure all hospitals are looking at the same information and this review is already extremely burdensome on our hospital staff.
The other thing to consider for next round of specifications is documentation of infection within 6 hours of vitals, organ dysfunction. I can see a need for initial documentation of infection for severe sepsis, but if a patient has an infection and 8 hours later crashes, why would we need additional documentation of infection as obviously it hasn't resolved? Thanks! Cindy Cynthia Wells Steward Health Care Director of Clinical Performance Analytics (508) 404-8647
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