Unfortunately this is a measure in which it is "all or nothing"; so, yes, we consider it an opportunity for improvement when this element is not met.
Diane Diane Coolidge RN Quality Review Specialist Community Hospital Division, Quality & Performance Improvement Phone: 262-257-3419 Fax: 262-257-2620 E-mail: diane.cooli...@froedtert.com<mailto:diane.cooli...@froedtert.com> Froedtert & The Medical College of Wisconsin Community Memorial Hospital W180 N8085 Town Hall Road Menomonee Falls, WI 53051 froedtert<http://www.froedterthealth.org/>.com This document is a confidential peer review document that records the investigations, proceedings and evaluations of Froedtert Hospital and Medical College of Wisconsin for the purpose of reviewing or evaluating the quality of health care and services provided by Froedtert Hospital and Medical College of Wisconsin. Medical College of Wisconsin Medical Staff This document may not be disclosed or released except as specifically provided in Section 146.38(3) of the Wisconsin Statutes. The unauthorized disclosure or release of this document or the information contained in this document may result in civil liability pursuant to Section 146.38(4) of the Wisconsin Statutes From: Sepsisgroups <sepsisgroups-boun...@lists.sepsisgroups.org> On Behalf Of Pamela Green Sent: Thursday, November 08, 2018 2:35 PM To: sepsisgroups@lists.sepsisgroups.org Subject: [Sepsis Groups] Total Bundle compliance We are having trouble getting consistent 3 and 6 hr documentation of tissue perfusion status. So I fail the bundle compliance if there is no documentation found at 3 hr and 6 hr. Even though all other components are present. Most times the patient is leaving the ER before or at 3 hours and by the time the Attending if admitted sees it is outside of 3 hr parameter. I was wondering if anyone else counts the entire bundle compliance as fail if the documentation is not there at the accurate parameter for Focused re-exam. It's frustrating because we don't get credit for what is being done for Bundle compliance for these patients. Would appreciate other observations. Thanks Pam [cid:image001.png@01D47A72.51E3A1C0][cid:image002.png@01D47A72.51E3A1C0] Pam Green BSN RN CCRN Clinical Informatics / Sepsis Team Leader /Coordinator [cid:image001.png@01D0FCE5.2E7479C0] 130 Medical Circle Nashville, Ark. 71852 Work-870-845-4400 (ext. 8918) Cell-870-703-1360 Email: pa...@howardmemorial.com<mailto:pa...@howardmemorial.com> www.howardmemorial.com<http://www.howardmemorial.com/> Improving the Health of the Communities We Serve HIPAA PRIVACY NOTICE: The information contained in or attached to this email may be private, may contain Protected Health Information covered under the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and must be protected in accordance with its provisions. The information contained in or attached to this email may be personal and sensitive and you are obligated to maintain it in a safe, secure and confidential manner. Further disclosure without express written consent is prohibited. If you are not the intended recipient, be advised that any unauthorized use, disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this email in error, please immediately notify the sender via telephone or return email and delete the email immediately. Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
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