Good Afternoon, We thought the new lactate rule would be helpful, but had our first miss of 2019. Time zero: 0636 First lactate sent 0227 (2.9) Second lactate sent 0445 (2.0)
Last year this would have met the metric because the abstractor would use the lactate sent closest to time zero (result was 2.0; no repeat needed). This year the lactate with the higher value is used (result 2.9). But, the lactate sent at 0445 can't be used as 'repeat' because it was sent before time zero. Are any of your systems sending 3 lactates instead of 2, even if the repeat is normal? Any other suggestions? Thanks, Molly Molly Duane RN, BSN, CCRN-K Sepsis Program Coordinator Detroit Receiving Hospital Harper-Hutzel Hospital Office: 313-745-4340 Cell: 248-709-6218 Email: [email protected]<mailto:[email protected]> This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
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