Some others: Day shift versus night shift
Involvement of House supervisor Involvement of leadership (unit manager, director) Presence of CNO (ours shows up randomly) Pharmacy review of antibiotic orders vs no pharmacy review (ours does not review ED orders) Pharmacy consultation in antibiotic selection vs not Just a few ideas, Thank you, Laura Soares MSN RN Sepsis & Stroke Program Coordinator 559.788.6067 Office 559.280.2036 Cell "Teamwork is the ability to work together toward a common vision--the ability to direct individual accomplishments toward organizational objectives. It is the fuel that allows common people to attain uncommon results"- Andrew Carnegie 465 W. Putnam Ave Porterville, CA 93257 DISCLAIMER: The information contained in this email transmission is confidential and intended for the addressee only. If the reader of this message is not the addressee or addressee's agent, you are hereby advised that any dissemination, distribution or copying of the information is strictly prohibited. The information contained in this email transmission may be protected under the Attorney/Client Privilege and protected from disclosure under California Evidence Code section 1157. If protected by the attorney/client privilege or by California Evidence Code Section 1157, the information contained in this email transmission shall continue to be protected and will not be negated by virtue of sending the information via this email. If you receive this email in error, please call the Information Technology Security Coordinator at (559) 788-6090 (collect if necessary) immediately upon receipt. Thank you for your cooperation. -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Friday, May 18, 2018 9:44 AM To: [email protected] Subject: Sepsisgroups Digest, Vol 289, Issue 7 WARNING This message originated outside Sierra View Medical Center. Use caution when opening links or attachments. Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: [External] What variables influence compliance? (Rhonda Dickman) ---------------------------------------------------------------------- Message: 1 Date: Wed, 16 May 2018 21:48:44 +0000 From: Rhonda Dickman <[email protected]> To: "Townsend, Sean, M.D." <[email protected]>, "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] [External] What variables influence compliance? Message-ID: <[email protected]> Content-Type: text/plain; charset="utf-8" Some additional potential variables that come to mind: ? Pregnancy ? Weekend ? versus ? weekday ? Time of year (new residents, flu season) ? Type of practitioner (mid-level, resident, etc?) ? Known/unknown source of infection If possible to include program-related variables, the following come to mind: ? Nurse-initiated protocol ? Electronic screening/alert system (EMR-based) ? Code Sepsis protocol ? Broad spectrum antibiotic in automated dispensing cabinet ? Point of care lactate ? Use of non-invasive hemodynamic monitoring equipment ? EMS involvement in screening/protocol ? Involvement of sepsis coordinator Rhonda Dickman, MSN, RN, CPHQ Clinical Quality Improvement Specialist Tennessee Center for Patient Safety Tennessee Hospital Association Office: 615-401-7404 Cell: 706-570-5700 [email protected]<mailto:[email protected]> www.tha.com<http://www.tha.com/> From: Sepsisgroups [mailto:[email protected]] On Behalf Of Townsend, Sean, M.D. Sent: Tuesday, May 15, 2018 10:07 PM To: [email protected] Subject: [External] [Sepsis Groups] What variables influence compliance? Dear All, I?m working on developing a model to predict compliance with SEP-1. I have a list below of variables that may be of interest, but I?m wondering if you might send me additional variables you think could be related. Just to clarify, SEP-1 excludes transfers, CMO status. 1. Age at admission 2. Sex 3. Ethnicity (Hispanic) 4. Race 5. Initial hypotension (triggers fluid requirement, thus an opportunity to fail to comply) 6. Persistent hypotension (triggers vasopressors, thus an opportunity to fail to comply) 7. Septic shock 8. Lactate > 2 (triggers a repeat lactate, thus another opportunity to fail to comply) 9. Lactate > 4 (triggers shock as well as fluid administration = opportunities to fail to comply) 10. Already on antibiotics prior to time of presentation (makes it easier to comply) 11. Already had blood cultures collected prior to time of presentation (makes it easier to comply) 12. CHF (less likely to comply given known physician behavior) 13. Cardiomyopathy (less likely to comply given known physician behavior) 14. ESRD (less likely to comply given known physician behavior) 15. Morbid Obesity (less likely to comply given known physician behavior) 16. Cirrhosis (less likely to comply given know physician behavior) 17. Admitted during the day (more likely to comply given staff present) 18. Admit type (Emergent, urgent, elective) 19. Presence of an advanced directive 20. Qualification to receive Medicare benefits (disabled, ESRD, old age) 21. Type of insurance (Medicare part D implies more access to drugs, Medicare Part B implies better outpatient care, Medicare part C = better managed care) 22. Surgery during the hospitalization 23. Admit from SNF versus home 24. DRG assigned 25. Primary diagnosis 26. Secondary diagnosis 27. Zip code 28. State Sean -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20180516/463e4a23/attachment.html> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 289, Issue 7 ******************************************** DISCLAIMER: The information contained in this email transmission is confidential and intended for the addressee only. If the reader of this message is not the addressee or addressee's agent, you are hereby advised that any dissemination, distribution or copying of the information is strictly prohibited. The information contained in this email transmission may be protected under the Attorney/Client Privilege and protected from disclosure under California Evidence Code section 1157. If protected by the attorney/client privilege or by California Evidence Code Section 1157, the information contained in this email transmission shall continue to be protected and will not be negated by virtue of sending the information via this email. If you receive this email in error, please call the Information Technology Security Coordinator at (559) 788-6090 (collect if necessary) immediately upon receipt. Thank you for your cooperation. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
