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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
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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 • 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.
Audience Participation Your Participation • Please continue to submit your text questions and comments using the Questions Panel • or • Click Raise Hand button to be unmuted for verbal questions.
Stephen L. Davidow, MBA-HCM, APR Manager, Quality Implementation Programs Society of Critical Care Medicine Mount Prospect, IL Today’s webcast is funded by a generous grant from the Gordon and Betty Moore Foundation
Save the Date! The Next Surviving Sepsis Campaign Webcast November 6, 2013, 2 p.m. Central Time Topic: Septic Shock Case Study of the Morbidly Obese Patient Faculty: Tiffany Osborn, MD, MPH, FCCM Assistant Professor, Surgery and Emergency Medicine Section of Acute and Critical Care Surgery Trauma/Surgical Critical Care Washington University/Barnes-Jewish Hospital St. Louis, Missouri
Christa A. Schorr, RN, MSN, FCCM Assistant 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
Learning objectives • Download and install the data collection tool • Demonstrate the data collection tool • Display built-in reports, export and upload data process
Changed from previous version of the database
Surviving Sepsis Campaign Database download instructions http://sscdb.sccm.org
Dellinger RP et al. Critical Care Medicine 2013;41:580-637 Dellinger RP et al. Intensive Care Med. 2013;39(2):165-228
Site information required Enter new patient record; view/select records Chart review select Built-in reports Export to local file and transmit to central site at SCCM
Site information Check all that apply Site contact information ICU descriptors
1. Select your site from the drop down box 2. Enter new patient record; view/select records Unique Patient ID entered on presentation screen
Evaluation for severe sepsis Need two-select all that apply Need one-select all that apply No longer include chills or rigors; glucose changed from 120 mg/dL to 140 mg/dL
Evaluation for NEW organ dysfunction Need one-select all that apply After entry of 1, 2 and 3 present-chart is eligible Acute lung injury criteria
Presentation Unique chart ID Patient ID Age calculated with DOB entry Check one Applicable for non-ED origin Time zero T0
Initial and repeat lactate Applies to the 3-hour bundle Applicable in patients with an initial elevated lactate Applies to the 6-hour bundle
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
Blood pressure, fluids and vasopressors Changed from ≥ 20 ml/kg to ≥ 30 ml/kg and equivalency info removed Lactate changed from > 4mmol/L to ≥ 4mmol/L 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
Central line and CVP Added “measured” for CVP and ScvO2 Added central line, but not included as an indicator
ScvO2 (SvO2) Added “measured” for CVP and ScvO2
Discharge-Status-Comments Free text field
APACHE II New optional screen-requires knowledge of APACHE methodology
3-Hour Bundle Three indicator status reports Required click in order to “score chart”
Select reporting period or specify other Ability to enter specified time periods (Jan-Mar 2013) Select report type
Questions Thank you
