http://www.npr.org/sections/health-shots/2017/03/23/521096488/doctor-turns-up-possible-treatment-for-deadly-sepsis

This was very interesting.  Looking forward to the completed study to see if it 
works out as a viable treatment. 

Lucinda Rosebush, RN, BSN 
Sepsis Coordinator 
Capital Regional Medical Center
Tallahassee, Florida 
[email protected]  

-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
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Sent: Monday, March 13, 2017 5:20 PM
To: [email protected]
Subject: [EXTERNAL] Sepsisgroups Digest, Vol 238, Issue 5

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Today's Topics:

   1. Re: Antibiotics >24 prior to presentation of Sepsis
      (DHILLON, ROOPINDER)


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Message: 1
Date: Thu, 9 Mar 2017 17:43:38 +0000
From: "DHILLON, ROOPINDER" <[email protected]>
To: "'Cynthia Wells'" <[email protected]>, "Pender.Linda"
        <[email protected]>,
        "[email protected]"
        <[email protected]>
Subject: Re: [Sepsis Groups] Antibiotics >24 prior to presentation of
        Sepsis
Message-ID:
        <[email protected]>
Content-Type: text/plain; charset="us-ascii"

Agree. CMS needs to make the changes soon and we should be allowed to 
reabstract.

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Cynthia Wells
Sent: Wednesday, March 08, 2017 1:03 PM
To: Pender.Linda; [email protected]
Subject: Re: [Sepsis Groups] Antibiotics >24 prior to presentation of Sepsis

Hi,

When CMS redid the algorithim-specifications in July they made an error with 
the algorithm so that Lactate comes before Antibiotics. I brought this to their 
attention in the fall and they have yet to make that change even though it is 
still in the measure definitions that these patients are supposed to be 
excluded. They are not excluded until a lactate is drawn.. if one isn't drawn 
it is an outlier.

Cindy

Cynthia Wells
Steward Health Care
Director of Clinical Performance Analytics
(508) 404-8647

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: [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/>
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