Please help. The Spec manual states that criteria must be found within 6 hours of each other to qualify for the severe sepsis diagnosis but many charts that I review are delayed in one thing or another. Current chart example that meets specific criteria: 9-22 @ 2121 lactate =2.1 organ dys 9-22 @ 2255 HR = 111 SIR 9-23 @ 1600 documentation of pneumonia Infection 9-24 @ 0550 WBC = 14.3 SIR 9-24 @ 0832 RR = 24 SIR As you can see the time span is great. 2 SIRs, Infection and organ dysfunction all met at 9-24 @ 0550 but did not take place within 6 hours of each other but rather days. Severe sepsis is NOT documented by physician. Do I say NO to severe sepsis question? Thank you Rona Capps, RN Sepsis/VTE/Meaningful Use Quality Coordinator Jackson Hospital Montgomery, AL 36116 [email protected]
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