1. Surviving Sepsis Campaign Database: Revision based on the 2012 Guidelines Christa A. Schorr RN, MSN, FCCM

2. 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. Your Participation Audience Participation

3. Please continue to submit your text questions and comments using the Questions Panel or Click Raise Hand button to be unmuted for verbal questions. Your Participation Audience Participation

4. 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

5. 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

6. 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

7. Learning objectives Download and install the data collection tool Demonstrate the data collection tool Display built-in reports, export and upload data process 7

8. Previous Chart Review Database Version 3 8

9. Changed from previous version of the database Changed from previous version of the database 9

10. www.survivingsepsis.org 10

11. 11

12. Database Installation 12

13. Surviving Sepsis Campaign Database download instructions http://sscdb.sccm.org 13

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15. Follow steps to complete installation 15

16. 16 Dellinger RP et al. Critical Care Medicine 2013;41:580-637 Dellinger RP et al. Intensive Care Med. 2013;39(2):165-228

17. Data Collection Tool 17

18. Home page - Menu 18

19. 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 19

20. Site information Check all that apply ICU descriptors Site contact information 20

21. 21 2. Enter new patient record; view/select records 1. Select your site from the drop down box Unique Patient ID entered on presentation screen

22. Evaluation for severe sepsis No longer include chills or rigors; glucose changed from 120 mg/dL to 140 mg/dL 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 22

23. 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 23

24. Presentation Patient ID Applicable for non-ED origin Time zero T 0 Age calculated with DOB entry Check one Unique chart ID 24

25. 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

26. 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

27. Blood pressure, fluids and vasopressors Changed from ≥ 20 ml/kg to ≥ 30 ml/kg and equivalency info removed 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 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 27 Lactate changed from > 4mmol/L to ≥ 4mmol/L Lactate changed from > 4mmol/L to ≥ 4mmol/L

28. Central line and CVP Added “measured” for CVP and ScvO2 Added central line, but not included as an indicator 28

29. ScvO2 (SvO2) Added “measured” for CVP and ScvO2 29

30. Discharge-Status-Comments Free text field 30

31. APACHE II New optional screen-requires knowledge of APACHE methodology 31

32. 3-Hour Bundle Required click in order to “score chart” Required click in order to “score chart” Three indicator status reports 32

33. 6-hour bundle 1 (measured) 33

34. 6-hour bundle 2 (achieved) 34

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37. REPORTS 37

38. Select report type Ability to enter specified time periods (Jan-Mar 2013) Ability to enter specified time periods (Jan-Mar 2013) Select reporting period or specify other 38

39. 3-hour bundle monthly report 39

40. 3-hour bundle cumulative totals 40

41. Graph reports 41

42. Graph reports 42

43. Excel data 43

44. 44

45. Export – upload - transmit 45

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47. Upload and transmit data 47

48. Export file 48

49. Summary 49

50. Questions Thank you 50