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