The patient received an antibiotic at 1145 which is within 24 hours prior to presentation. Page 1-61 in specification manual states (version 5.0b)
Notes for Abstraction: * NOTE: To choose Value "1," there must be at least one dose of an intravenous (IV) antibiotic given or started in the 24 hours preceding or 3 hours after the severe sepsis presentation time. * If the patient received any IV antibiotic within the 24 hours preceding or 3 hours following the presentation of severe sepsis, choose Value "1." * If no IV antibiotic was given within the 24 hours preceding or 3 hours following the Severe Sepsis Presentation Time, choose Value "2." Jennifer Osburn, RN, BSN Quality and Accreditation St. Mary's Medical Center 304-526-1506 [email protected]<mailto:mailt:[email protected]> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Myran, Robin Sent: Monday, February 22, 2016 2:45 PM To: Rebecca Rosario; [email protected] Subject: Re: [Sepsis Groups] Clarifying Question-Broad Spectrum or OtherAntibiotic Selection Rebecca - I'm assuming you are referring to the Broad Spectrum or Other Antibiotic Selection data element. I share your confusion about this one. I found this Q&A from the 10/26/15 presentation: Question 59: With combination therapy, do both ABX have to be given within a 3 hour time window after presentation? What if they are given shortly before the presentation time? Answer 59: The only time you compare the antibiotics given to the antibiotic tables is if the only antibiotics the patient received are in the 3 hours following presentation. In the question, the patient received an antibiotic prior to presentation. Because of this, the Broad Spectrum or Other Antibiotic Administration Selection data element is not abstracted. However, the Notes for Abstraction for this data element include the following: * If no antibiotics were administered in the three hour time window, choose Value "2." I agree with you that answering "2" would fail the measure. I have submitted this question to the IQR Q&A system and am waiting for a response. I'll let you know what they say. Robin Robin Myran, MSN, RN, PCCN Sepsis Coordinator Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach, CA 92658 Office: (949) 764-4588 Fax: (949) 764-5387 Cell: (949) 300-9137 [email protected]<mailto:[email protected]> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Rebecca Rosario Sent: Friday, February 19, 2016 11:48 AM To: [email protected]<mailto:[email protected]> Subject: [Sepsis Groups] Clarifying Question-Broad Spectrum or OtherAntibiotic Selection Hello everyone! I hope you are all doing well. I would like to clarify with everyone how they are answering this question to make sure I am doing it correctly. Are you answering yes or no if severe sepsis presentation time is at 12noon and the broad spectrum antibiotic (only antibiotic) was given at 11:45am and then again at 18:00? Previously, someone posted that if you answer "no" that the case will not fail unless there are other reasons for the case to fail. When I look at the algorithm if you answer "2" you proceed to J but it does not say to add one to the sepsis three hour counter. Page SEP-1-11 The last algorithm shows that if the sepsis three hour counter is <3 then it goes to SEP-1 D. Page SEP-1-27. Thank you for your feedback! Rebecca [http://www.akrongeneral.org/pics/miscLgos/CCAG_Lgo_email_0116b.gif] Rebecca Rosario MSN, RN, NE-BC | Coordinator | Quality Cleveland Clinic Akron General | 1 Akron General Avenue | Akron, OH 44307 P: 330-344-5809 | F: 330-344-6116 | [email protected]<mailto:[email protected]> Please note that the information contained in this message and any files transmitted with it are privileged and confidential and are protected from disclosure under the law, including the Health Insurance Portability and Accountability Act (HIPAA). If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited and may subject you to criminal or civil penalties. If you have received this communication in error, please notify the sender by replying to the message and delete the material from any computer. Thank you, Hoag Memorial Hospital Presbyterian and its Affiliates Important Notice: This e-mail message and any attachments are from the above sender at St. Mary’s Medical Center and are intended solely for the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient of this communication or the employee or agent responsible for delivering the message to the intended recipient, or if it has been sent to you in error, please notify the sender immediately. Do not examine, review, use, disclose, deliver, distribute, reproduce or take any action in reliance on it and immediately delete the message and any attachments.
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