I have had this occur as well. Maggie Macias, RN Sepsis Program Coordinator Valley Regional Medical Center Brownsville, TX (956) 350-7179 (O) maggie.mac...@hcahealthcare.com
-----Original Message----- From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Townsend, Sean, M.D. Sent: Wednesday, May 17, 2017 12:57 PM To: Mary Draper <mary.dra...@johnmuirhealth.com> Cc: sepsisgroups@lists.sepsisgroups.org Subject: [EXTERNAL] Re: [Sepsis Groups] [**External**] Sepsis Alert I would agree this is a confounder. You could delete from your local focus study, but they will still hit the metric for purposes of SEP-1. I'm not sure how often you see this to justify a change to SEP-1, but if common I'd take a look. On May 17, 2017, at 10:52 AM, Mary Draper <mary.dra...@johnmuirhealth.com> wrote: Hi Dr. Townsend, I have been looking through the Severe Sepsis guidelines with regards to patient who present in cardiac arrest to the ED. I have not found any information specific to this issue. Most of them have an elevated lactate. It is difficult to determine what was the cause of the arrest. We are proposing to our Sepsis committee that we delete these patients from the focus study. What are your thoughts on this subject? Thanks Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT Quality Management JMH Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 mary.dra...@johnmuirhealth.com "O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top... For then we will always strive for greater things and will not be content with merely climbing hills." Ardath Rodale -----Original Message----- From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Gwen S. Schneider Sent: Saturday, May 13, 2017 10:20 AM To: Townsend, Sean, M.D. <towns...@sutterhealth.org>; Parker, Erin <erin.par...@ascension.org> Cc: sepsisgroups@lists.sepsisgroups.org Subject: Re: [Sepsis Groups] [**External**] Sepsis Alert Hello, I am interested in the responses you might receive from your question. We use EPIC, and we have for LA a value of >2.0 a call from lab as a critical. I am wondering if other hospitals are doing the same. And what does MS have to say about it? Sierra Schneider Salem Oregon ________________________________________ From: Sepsisgroups [sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Townsend, Sean, M.D. [towns...@sutterhealth.org] Sent: Thursday, May 11, 2017 9:36 PM To: Parker, Erin Cc: sepsisgroups@lists.sepsisgroups.org Subject: Re: [Sepsis Groups] [**External**] Sepsis Alert Erin, I'm sorry you received an inflammatory and obtuse response to your question. Such posts have earned the name "troll" or having been "trolled" for for a reason. Maybe to get a real answer to your question, you could share with us which EHR you use? Sean On May 5, 2017, at 7:05 AM, Parker, Erin <erin.par...@ascension.org<mailto:erin.par...@ascension.org>> wrote: WARNING: This email originated outside of the Sutter Health email system! DO NOT CLICK links if the sender is unknown and never provide your User ID or Password. Would any one like to share EHR sepsis alert criteria, and also be willing to share how it is working? Thanks, Erin Erin Parker RN, BSN, ACM Infection Preventionist, Epidemiology Ascension | Genesys One Genesys Parkway Grand Blanc, MI 48439 Ascension.org/Michigan<https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2FAscension.org%2FMichigan&data=02%7C01%7CTownseSR%40sutterhealth.org%7Cbcf81d122f5642b45bbc08d49d4d8358%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C636306403617734269&sdata=mQq8Hjhaxl37u5wE%2FqOAyhW6JSn%2BvqAyXvPktgLYRnE%3D&reserved=0> T: 810.606.5093 F: 810-606-5495 M: erin.par...@ascension.org<mailto:erin.par...@ascension.org> CONFIDENTIALITY NOTICE: This email message and any accompanying data or files is confidential and may contain privileged information intended only for the named recipient(s). 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