Surviving Sepsis Campaign Database:Revision based on the 2012

Guidelines

Christa A. Schorr RN, MSN, FCCM

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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

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

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

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

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

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

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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