Hello- I am looking for an answer to the question below posed some time ago. If an infectious source is documented on admission and a patient develops signs of severe sepsis more than 6hrs later, must infection be documented again to determine start time and to be included in the measure? It makes sense that the infectious source is known, but for data abstraction, must it be documented again within 6 hrs? Any help would be appreciated. Thank you, Brenda Prabhakar RN BSN Sepsis Steering Committee Co-Chair Doylestown Hospital Doylestown, PA
________________________________________ From: Sepsisgroups [[email protected]] on behalf of Cynthia Wells [[email protected]] Sent: Wednesday, September 30, 2015 1:48 AM To: [email protected] Subject: [Sepsis Groups] Severe Sepsis Time Zero Hello, If infection/suspect infection is already established however the patient does not meet criteria until 8 hours after documentation of infection (SIRS + Organ Dysfunction) do we have to tie in the infection documentation again within 6 hours or is it already assumed since infection has been documented/confirmed before the vital signs/abnormal lab values. For Example: Patient presents to ED with Fever 09:00 and Chest X-Ray shows Pneumonia subsequently documented by ED at 9:30 no other abnormal labs or vitals. 16:00 Fever Persists, HR elevated, Lab work shows 16:20 lactate = 2.1 and progress note 21:00 with documented interventions for PN. Do we have to tie the infection documentation timing back into the evaluation or because Patient already noted to have PN by ED at 9:30 that counts as 1 of the three criterion and 16:20 = Time Zero. Or do we account for all three criterion and 21:00 is new time zero as all three criterion within 6 hours of each other. Cindy Cynthia Wells Steward Health Care Director of Clinical Performance Analytics (508) 404-8647 _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
