I think this is a good question, because we have a very recent case that the auditors are marking as a sepsis case with the documentation of "sepsis" as the source of infection.
I think I will send a query to Q-Net to determine what their opinion is of this documentation. Holly Heyer Holly Heyer, RN, BSN | Quality Specialist | Quality Department Beaumont Hospital-Taylor | 10000 Telegraph Road | Taylor, MI 48180 (313).295.5040 (office) | [email protected] This document is CONFIDENTIAL. Its use is for a professional/peer review function which is for the purpose of reducing morbidity and mortality and evaluating and improving the quality of care rendered to patients, and reviewing the necessity and appropriateness of care rendered. Any records, data, and knowledge collected for or by individuals assigned a professional / peer review function are confidential subject to MCLA 331.531, 331.532, 331.533, 333.20175, 333.21513, 333.21515, 330.1143A and 330.1748(9) and other state and federal laws. -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Thursday, March 03, 2016 4:08 PM To: [email protected] Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 194, Issue 9 Good afternoon Since clarification came out regarding the ability to use "sepsis" as suspected infection, I would think that an order for a sepsis order set would also indicate as such. Unless, sepsis ordersets could possibly be utilized for other disease processes. I have not seen anything official indicating this, it is only my opinion to add to the discussion. Thank you Tammy Lightner RN, MHA, MSPM Director of Performance Improvement Research Medical Center 2316 E Meyer Blvd Kansas City, MO 64132 [email protected] 816- 276-3948 (o)/816-304-5898 ( c ) CONFIDENTIAL - Contains proprietary information. Not intended for external distribution. -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Thursday, March 03, 2016 2:27 PM To: [email protected] Subject: [EXTERNAL] Sepsisgroups Digest, Vol 194, Issue 9 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Documentation of Suspected infection (Orth, Claudia) ---------------------------------------------------------------------- Message: 1 Date: Thu, 3 Mar 2016 15:13:12 +0000 From: "Orth, Claudia" <[email protected]> To: "hiqrimprove-poc-discuss ([email protected])" <[email protected]> Cc: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Documentation of Suspected infection Message-ID: <b482f481b7b4d745be676ceff55ec94051a80...@mmc-exchmbs03.ad.mhc.net> Content-Type: text/plain; charset="us-ascii" Good Morning, We have had lots of debate at our facilility regarding the documentation of suspected source of clinical infection. As we all know in the clinical world most providers (as they should be in my opinion), are focused on providing the care and not on the documentation of said care! Having said that it's my understanding from the definition below that the documentation of suspected infection has to occur within 6 hours of the other criteria to meet Severe Sepsis. Our providers are arguing that the ordering of a Sepsis orderset should be enough "documentation/proof" that they are "suspecting a source of clinical infection". The documentation by nurses and providers is often the last criteria being met which feels like it skews our data because many of the 3 and even 6 hour bundle elements will have already been completed by the time the documentation occurs. Has anyone else encountered this issue and/or heard of us being able to use an orderset as proof that infection is suspected ? Thank you in advance for your time and expertise! [cid:[email protected]][cid:[email protected]] ~Claudia Claudia Orth BSN, RN, CCRN-K Regional Sepsis Coordinator Clinical Quality Munson Medical Center 1105 Sixth Street Traverse City, MI 49684-2386 (231) 935-5692 (Voice) (231) 318-0394 (Pager) [email protected]<mailto:[email protected]> -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20160303/4624f159/attachment.htm> -------------- next part -------------- A non-text attachment was scrubbed... Name: image002.png Type: image/png Size: 645 bytes Desc: image002.png URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20160303/4624f159/attachment.png> -------------- next part -------------- A non-text attachment was scrubbed... Name: image003.png Type: image/png Size: 176929 bytes Desc: image003.png URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20160303/4624f159/attachment-0001.png> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 194, Issue 9 ******************************************** _______________________________________________ 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
