Martie I echo your thoughts and beliefs also. We have been doing routine screening since 2006 and this has allowed us to catch people early in the sepsis process. qSOFA needs to be tested prospective as well as the rest of the SEP-3 definitions prior to adopting them for clinical identification and management of sepsis
Pat Posa RN, BSN, MSA, FAAN Quality Excellence Leader st Joseph Mercy Hospital Ann Arbor Mi Sent from my iPhone > On Sep 27, 2016, at 1:39 PM, Martie Mattson <[email protected]> > wrote: > > I have some concerns with the using the qSOFA to determine necessity for > further screening. Since 2006, I have worked with over 15 hospitals in > California and Washington to implement screening, and although I never > collected any formal data regarding this, it is my stong impression that in > the younger, generally healthier population who get septic, change in mental > status and decreased blood pressure are more often later signs. The younger > person usually has a greater ability to compensate, so these signs don't show > up until later in the septic process and we would miss the opportunity for > early recognition that has been proven to reduce mortality. > > I strongly feel that this tool needs to be validated concurrently in the > inpatient and outpatient area clinical area before it is use is recommended > as the best tool. > > > > Martie Mattson, RN, MSN, CNS > Critical Care Consultant and Educator > Surviving Sepsis Protocol Implementation > [email protected] > (415) 412-2364 > > > >> On Thu, Sep 22, 2016 at 10:49 AM, Reid, Kathryn S. <[email protected]> >> wrote: >> Has anyone developed a successful marriage of the two screenings yet? If >> so, I would be very interested in how you are using both effectively to >> capture the core measure population as well as use the new recommendations. >> >> >> >> Thanks, >> Katie >> >> >> >> Katie Swink Reid, MPH, CPHQ >> Quality Consultant >> Performance Improvement & Outcomes >> Inova Loudoun Hospital >> 44045 Riverside Parkway >> Leesburg,VA 20176 >> T 703-858-6367 | [email protected] >> >> >> >> This communication may contain confidential and/or privileged information. >> Additionally, this communication may contain protected health information >> (PHI) that is legally protected from inappropriate disclosure by the Privacy >> Standards of the Health Insurance Portability and Accountability Act (HIPAA) >> and relevant Virginia Laws. If you are not the intended recipient, please >> note that any dissemination, distribution or copying of this communication >> is strictly prohibited. If you have received this message in error, you >> should notify the sender immediately by telephone or by return e-mail and >> delete this message from your computer. Direct questions to the Chief >> Privacy Officer at 703-205-2337. >> >> >> >> >> _______________________________________________ >> 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
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