surviving sepsis campaign database: revision based on the 2012 guidelines
DESCRIPTION
Surviving Sepsis Campaign Database: Revision based on the 2012 Guidelines. Christa A. Schorr RN, MSN, FCCM. Audience Participation. Your Participation. Open your control panel Join audio: Choose “Mic & Speakers” to use computer VoIP - PowerPoint PPT PresentationTRANSCRIPT
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Surviving Sepsis Campaign Database:Revision based on the 2012
Guidelines
Christa A. Schorr RN, MSN, FCCM
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Open your control panel
Join audio:• Choose “Mic & Speakers” to use
computer VoIP• Choose “Telephone” and dial using
the information provided
Submit questions and comments via the Questions panel
Note: Today’s presentation is being recorded and will be provided within 45 days.
Your Participation
Audience Participation
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• Please continue to submit your text questions and comments using the Questions Panel
or
• Click Raise Hand button to be unmuted for verbal questions.
Your Participation
Audience Participation
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Stephen L. Davidow, MBA-HCM, APRManager, Quality Implementation ProgramsSociety of Critical Care MedicineMount Prospect, IL
Today’s webcast is funded by a generous grant from the Gordon and Betty Moore Foundation
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Save the Date!The Next Surviving Sepsis Campaign Webcast
November 6, 2013, 2 p.m. Central TimeTopic: Septic Shock Case Study of the Morbidly
Obese Patient
Faculty: Tiffany Osborn, MD, MPH, FCCMAssistant Professor, Surgery and Emergency Medicine
Section of Acute and Critical Care SurgeryTrauma/Surgical Critical Care
Washington University/Barnes-Jewish HospitalSt. Louis, Missouri
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Christa A. Schorr, RN, MSN, FCCMAssistant Professor of Medicine Cooper Medical School of Rowan University
Director of Quality Improvement and Research Databases Program Director Critical Care Clinical Trials Department of Medicine Cooper University Hospital Camden, New Jersey
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Learning objectives
• Download and install the data collection tool
• Demonstrate the data collection tool
• Display built-in reports, export and upload data process
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Previous Chart Review Database Version 3
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Changed from previous version of the database
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www.survivingsepsis.org
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Database Installation
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Surviving Sepsis Campaign Database download instructions
http://sscdb.sccm.org
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Follow steps to complete installation
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Dellinger RP et al. Critical Care Medicine 2013;41:580-637 Dellinger RP et al. Intensive Care Med. 2013;39(2):165-228
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Data Collection Tool
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Home page - Menu
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Site information
required Enter new patient record;
view/select records
Built-in reports
Export to local file and transmit to central site at
SCCM
Chart review select
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Site information
Check all that apply
ICU descriptors
Site contact information
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2. Enter new patient record; view/select records
1. Select your site from the drop down box
Unique Patient ID entered on
presentation screen
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Evaluation for severe sepsis
No longer include chills or rigors;
glucose changed from 120 mg/dL to
140 mg/dL
Need one-
select all that
apply
Need two-select all that
apply
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Evaluation for NEW organ dysfunction
After entry of 1, 2 and 3 present-
chart is eligible
Need one-
select all that
apply
Acute lung injury criteria
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PresentationPatient ID
Applicable for non-ED
origin
Time zero T0
Age calculated with DOB
entry
Check one
Unique chart ID
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Initial and repeat lactateApplies to the 3-hour
bundle Applicable in patients with an initial elevated
lactate
Applies to the 6-hour
bundle
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Blood culture and antibiotics
Select if started and continued
If yes to 6, list one or more specific antibiotics. Using the drop down menu for
selection
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Blood pressure, fluids and vasopressors
Changed from ≥ 20 ml/kg to ≥ 30 ml/kg and
equivalency info removed
If yes, 7b and 7c will open.
If no, 7c will only open if lactate
>=4 mmol/L
Enter date and time when 30ml/kg is completed
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Lactate changed from > 4mmol/L to ≥ 4mmol/L
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Central line and CVP
Added “measured” for CVP and ScvO2
Added central line, but not
included as an indicator
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ScvO2 (SvO2)
Added “measured” for CVP and ScvO2
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Discharge-Status-Comments
Free text field
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APACHE II
New optional screen-requires knowledge of
APACHE methodology
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3-Hour Bundle
Required click in order to
“score chart”
Three indicator status reports
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6-hour bundle 1 (measured)
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6-hour bundle 2 (achieved)
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REPORTS
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Select report type
Ability to enter specified time
periods (Jan-Mar 2013)
Select reporting period or
specify other
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3-hour bundle monthly report
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3-hour bundle cumulative totals
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Graph reports
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Graph reports
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Excel data
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Export – upload - transmit
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Upload and transmit data
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Export file
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Summary
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Questions
Thank you
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