Sepsis Controversy Continues

Angie Szumlinski News

Sepsis is a word every healthcare provider fears, it sends chills up your spine, right? We have been trained to be alert to signs and symptoms of sepsis and follow the recommendations of the CDC. That said, there are many experts in the field of infectious disease who disagree with the quality measure known as “Severe Sepsis and Septic Shock: …

SEP-1 Measure

Angie Szumlinski News

In 2013 the National Quality Foundation (NQF) endorsed the Severe Sepsis and Septic Shock: Management Bundle (SEP-1) and it was implemented by the Centers for Medicare and Medicaid Services (CMS) in October 2015, requiring emergency rooms to follow the process. The measure has seven basic elements that guide clinicians in the treatment of patients brought to the emergency room with …

Sepsis Quality Improvement Program

Angie Szumlinski News

We all know our residents are at a higher risk for sepsis due to compromised immune systems and comorbidities, but what if we could prevent even one case of sepsis? Recently, 10 post-acute care independent facilities in New York state initiated a sepsis quality improvement program with amazing results! Overall, sepsis hospitalizations in this group decreased by 22.8% with a …

Sepsis Core Measures

Angie Szumlinski News

In October 2015, Medicare initiated a requirement that all hospitals report their adherence to the Severe Sepsis and Septic Shock Early Management Bundle (SEP-1). The SEP-1 is also referred to as the “hour-1 bundle” that encourages clinicians to act as quickly as possible to obtain blood cultures, administer broad spectrum antibiotics, start appropriate fluid resuscitation, measure lactate, and begin vasopressors …

Sepsis

Angie Szumlinski Health

Sepsis is defined as a severe condition derived from a primary infection site. In patients with sepsis, as a rule, a primary infected focus should be investigated, and treatment must be performed in accordance with the site of infection and condition. As the most important point, physicians must consider the start of antimicrobial chemotherapy for sepsis, fatal organ failure, in …

The Perfect Storm!

Angie Szumlinski Health

Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection that can be bacterial, fungal, protozoal, or viral in origin, including the virus that causes COVID-19 infection. SARS-CoV-2 infections frequently leads to organ dysfunction that is similar to that seen in forms of sepsis and other pathogenic organisms. There are clinically relevant differences between manifestations of …

Sepsis Morbidity and Mortality – Early Detection

Angie Szumlinski Case Study, Health

Sepsis is a frequent cause of morbidity and mortality among nursing home residents. A study published in JAMDA used a sample of 31 nursing homes with characteristics similar to nursing homes nationally. The study identified several issues around documentation of active surveillance and medical oversight that may have hindered early detection of sepsis. Particularly noteworthy was the absence of documentation …

Your Role in Surviving Sepsis Campaign

Angie Szumlinski Health

In the 1980s and 1990s, several approaches were developed to counteract what were thought to be important microbial and host mediators in the development of sepsis and septic shock with the goal of reducing mortality. These efforts proved to be unsuccessful in reducing mortality related to sepsis and septic shock. Because of these failures, the focus changed to identifying patients …

Cleaning a wound on an arm

Wounds, Infection, Sepsis – End in Sight?

Angie Szumlinski Health, Studies

In a recent article in Science Translational Medicine, January 2020, a study regarding the need for improved treatments for wound healing identified a product that may actually reduce inflammation and infection. This product is not yet on the market but should give us reason to pause. Wouldn’t the world be a better place if residents with wounds could be free …

Podcast: Ep. 5 – Sepsis

Peter Feeney Podcast

Every hour that a resident is in septic shock and not receiving antibiotics, their risk of death increases by almost 10%. Knowing the signs of sepsis and early diagnosis are key to fighting the infection. Peter Feeney talks with Risk Managers Cathy Angi and Cathy Hamblen about what to look for and what to do when you suspect sepsis.