We would agree from a UK perspective. qSOFA, in as yet unpublished studies I and others have seen, is not superior to our existing national early warning score (NEWS) in identifying patients requiring intervention- it is almost too specific.
R Dr Ron Daniels BEM CEO: UK Sepsis Trust and Global Sepsis Alliance Clinical Adviser to NHS England Sent on the move from my iPhone, excuse brevity! On 28 Sep 2016, at 09:18, Martie Mattson <[email protected]<mailto:[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]<mailto:[email protected]> (415) 412-2364 On Thu, Sep 22, 2016 at 10:49 AM, Reid, Kathryn S. <[email protected]<mailto:[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<tel:703-858-6367> | [email protected]<mailto:[email protected]> [http://inova.monigle2.net/images/email_sig/inova_email_logo.jpg]<http://www.inova.org/> 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<tel:703-205-2337>. _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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