Sepsis Bundle Project (SEP) Measure Set

Last Updated: Version Sepsis Bundle Project (SEP) NATIONAL HOSPITAL INPATIENT QUALITY MEASURES SEP Measure Set Table Set Measure ID # Measure Short Name SEP-1 Early Management Bundle , Severe Sepsis /Septic Shock Specifications Manual for National Hospital Inpatient Quality Measures Discharges 01-01-18 (1Q18) through 06-30-18 (2Q18) SEP-1 Type of Measure : Process Improvement Noted As: An increase in the rate Numerator Statement: Patients who received ALL of the following: Received within three hours of presentation of severe Sepsis : Initial lactate level measurement Broad spectrum or other antibiotics administered Blood cultures drawn prior to antibioticsAND received within six hours of presentation of severe Sepsis : Repeat lactate level measurement only if initial lactate level is elevatedAND ONLY if: Initial Hypotension present initiated within three hours of Initial Hypotension: Resuscitation with 30 mL/kg crystalloid fluidsORSeptic Shock Present initiated within three hours of septic shock presentation: Resuscitation with 30 mL/kg crystalloid fluidsAND ONLY IF hypotension persists after fluid administration, received within six hours of presentation of septic shock: VasopressorsAND ONLY if hypotension persists after fluid administration or initial lactate >= 4 mmol/L, received within six hours of presentation of septic shock: Repeat volume status and tissue perfusion assessment Included Popula

• ACEP policy statement on emergency ultrasound guidelines. Ann Emerg Med. 2009;53:550–70. • Ait-Oufella H, Bige N, Boelle PY, et al. Capillary refill time exploration during septic shock. Intensive Care Med. 2014 Jul;40(7):958–964. • Ait-Oufella H, Lemoinne S, Boelle PY, et al. Mottling score predicts survival in septic shock.

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