webcast slides - Society of Critical Care Medicine

advertisement
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
7
Previous Chart Review Database Version 3
8
Changed from
previous version
of the database
9
www.survivingsepsis.org
10
11
Database Installation
12
Surviving Sepsis Campaign
Database download instructions
http://sscdb.sccm.org
13
14
Follow steps to complete
installation
15
Dellinger RP et al. Critical Care Medicine 2013;41:580-637
Dellinger RP et al. Intensive Care Med. 2013;39(2):165-228
16
Data Collection Tool
17
Home page - Menu
18
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
19
Site information
Check all
that apply
Site contact
information
ICU
descriptors
20
2. Enter new
patient
record;
view/select
records
1. Select your site
from the drop
down box
Unique Patient ID
entered on
presentation
screen
21
Evaluation for severe sepsis
Need twoselect all that
apply
Need
oneselect
all that
apply
No longer include
chills or rigors;
glucose changed
from 120 mg/dL to
140 mg/dL
22
Evaluation for NEW organ dysfunction
Need
oneselect
all that
apply
After entry
of 1, 2 and
3 presentchart is
eligible
Acute lung injury
criteria
23
Patient ID
Unique
chart ID
Presentation
Age
calculated
with DOB
entry
Check
one
Applicable
for non-ED
origin
Time zero
T0
24
Initial and repeat lactate
Applies to
the 3-hour
bundle
Applicable in
patients with an
initial elevated
lactate
Applies to
the 6-hour
bundle
25
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
26
Blood pressure, fluids and
vasopressors
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
Changed from ≥ 20 ml/kg
to ≥ 30 ml/kg and
equivalency info removed
Enter date and
time when
30ml/kg is
completed
27
Central line and CVP
Added
“measured” for
CVP and ScvO2
Added central
line, but not
included as an
indicator
28
ScvO2 (SvO2)
Added
“measured” for
CVP and ScvO2
29
Discharge-Status-Comments
Free text
field
30
APACHE II
New optional
screen-requires
knowledge of
APACHE
methodology
31
3-Hour Bundle
Three indicator
status reports
Required click in
order to
“score chart”
32
6-hour bundle 1 (measured)
33
6-hour bundle 2 (achieved)
34
35
36
REPORTS
37
Select
reporting
period or
specify other
Select
report
type
Ability to enter
specified time
periods
(Jan-Mar 2013)
38
3-hour bundle monthly report
39
3-hour bundle cumulative totals
40
Graph reports
41
Graph reports
42
Excel data
43
44
Export – upload - transmit
45
46
Upload and transmit data
47
Export file
48
Summary
49
Thank you
Questions
50
Download