Agree. The Antibiotic question should be prior to the initial lactate question in the algorithm.
From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Tuesday, March 07, 2017 2:44 PM To: [email protected]; [email protected] Subject: Re: [Sepsis Groups] Antibiotics >24 prior to presentation of Sepsis We are seeing the same issue here. It is causing huge issues for us as well. Ashlee Pinkston, RN-BSN, CCRN| Stroke/Sepsis Coordinator Terre Haute Regional Hospital 3901 S. 7th Street Terre Haute, In 47802 (812) 237-9398 [email protected]<mailto:[email protected]> [Sign_Image] Our promise is to provide the highest quality, compassionate care for every patient, every time. This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If received in error, please immediately purge, including all attachments, notify the sender by reply email or contact the sender at the number listed. From: Sepsisgroups [mailto:[email protected]] On Behalf Of Pender.Linda Sent: Friday, March 03, 2017 12:12 PM To: [email protected]<mailto:[email protected]> Subject: [EXTERNAL] [Sepsis Groups] Antibiotics >24 prior to presentation of Sepsis If a patient is on IV antibiotics for >24 hours prior severe sepsis presentation shouldn't they be excluded from the Sep-1 Core Measure? We use Comparion to abstract our data. The abstracting tool requires entry of the initial collection of the lactic acid before the antibiotics, if the patient did not have a lactic acid collected 6 hrs before of 3 hrs after the severe sepsis presentation, the pt fails the measure instead of being excluded. Please let me know what you all think of this. It is truly affecting our numbers. Linda G. Pender RRT-NPS Sepsis Coordinator Patient Care Services Administration phone: 478-633-6806 pager: 4444 KNOW Sepsis: Inside & Out [MCCG...World Class Care! See our website...]<http://www.navicenthealth.org/> Confidential Quality Improvement: Not for Disclosure Email: [email protected]<mailto:[email protected]> CONFIDENTIALITY NOTICE: The information transmitted in this e-mail message, including any attachments, is for the sole use of the intended recipient(s) or entity to which it is addressed and may contain confidential, privileged, and/or proprietary information. Any unauthorized review, retransmission, use, disclosure, dissemination, or other use of, or taking any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you are not the intended recipient, you are hereby notified that any reading, dissemination, distribution, copying, or other use of this message or its attachments is strictly prohibited. If you have received this message in error, please notify the sender immediately by reply e-mail, or by calling (478) 633-7272, and destroy the original message, attachments, and all copies thereof on all computers and in any other form. Thank you. Navicent Health. http://www.navicenthealth.org/ Visit us at www.UHhospitals.org. The enclosed information is STRICTLY CONFIDENTIAL and is intended for the use of the addressee only. University Hospitals and its affiliates disclaim any responsibility for unauthorized disclosure of this information to anyone other than the addressee. Federal and Ohio law protect patient medical information, including psychiatric_disorders, (H.I.V) test results, A.I.Ds-related conditions, alcohol, and/or drug_dependence or abuse disclosed in this email. Federal regulation (42 CFR Part 2) and Ohio Revised Code section 5122.31 and 3701.243 prohibit disclosure of this information without the specific written consent of the person to whom it pertains, or as otherwise permitted by law.
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
