I think the frustration and confusion still is in what the coding can be. They can still just code "sepsis" or "severe sepsis without septic shock" and severe sepsis with septic shock. I find many are coded "sepsis" and "acidosis" which I review for the sepsis core measure focus study b/c the lactate can be > 2 which pushed the patient into the severe sepsis category. Does that make any sense?
Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT JMH Quality Management Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected]<mailto:[email protected]> [cid:[email protected]] "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 From: Sepsisgroups [mailto:[email protected]] On Behalf Of SCOTT GALLAGHER Sent: Saturday, June 16, 2018 10:07 AM To: [email protected] Subject: [External] [Sepsis Groups] Fw: Sepsis definitions ________________________________ Caution: This email originated outside JMH. Do not open attachments or click on links if you do not recognize the sender. ________________________________ Dear Sepsis Groups, Would someone kindly clarify whether the current SSC guidelines (2016, 2018 update) have adopted the Sepsis-3 definitions of sepsis (along with qSOFA) and septic shock or whether the current SSC guidelines utilized the established definitions of sepsis (along with SIRS), severe sepsis and septic shock put forth in Sepsis-1 and Sepsis-2? An article was published March 4, 2017 in ACEP Now (https://www.acepnow.com/article/acep-endorses-latest-surviving-sepsis-campaign-recommendations/) that stated the SSC Guidelines (2016) did not adopt the Sepsis-3 definitions, yet abandoned the term severe sepsis, and defined sepsis as the established definition (Sepsis-1 and -2) of severe sepsis, and maintained the established definition for septic shock. Thank you for any clarification you can provide me and my colleagues. Very sincerely, Scott Gallagher, MD Emergency Department Aspen Valley Hospital
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