ICU Acquired Sepsis

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Number of Septic-Sepsis cases per 1000 ICU patient days

Indicators
Indicator: ICU Acquired Sepsis
Created/Raw: Created
Program: Critical Care
Start Date:
End Date:
Reports: Critical Care Program Quality Indicator Report, WRHA ICU Hospital-Acquired Conditions


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QI domain

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Significance

Nothing was listed in your power point, what is the significance? - not sure need to ask Kendiss. --JMojica 17:13, 2021 December 10 (CST)

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Sampling Plan / Procedure

100 % of all patients will be monitored for acquired Septic_Sepsis listed in the data sources below.

Inclusion Criteria

All

Exclusion Criteria

None

Frequency

  • Recorded once per patient
  • On quarterly basis based on discharge dates, tabulate the number of cases on acquired and total number of patient days or Total ICU_LOS in LOS per Service

Definition and Derivation

Number of Septic_Sepsis cases per 1000 ICU patient days

Numerator

Number of new ICU Septic_Sepsis acquired cases

Just to be clear, is it number of cases (possibly >1 per pt) or once per pt as mentioned above?

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Denominator

Total ICU_LOS in LOS per Service

Data Sources

  • Starting 2019, Septic_Sepsis is part of the ICD10 collection with codes R57.2, R65.0, R65.1 under the Acquired Diagnosis / Complication.
  1. Sepsis (SIRS due to infection, without acute organ failure)
  2. Severe sepsis
  3. Shock, septic
  • Before 2019, Septic_Sepsis include Septic Shock (old code 44) and Severe Sepsis (old code 45) and saved in table L_Dxs

SAS Program

  • The SAS program to get the Septic_Sepsis is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
  • The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\logphi.sas and (datetimes.sas or datetime_short.sas )

Report Users

Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee

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