TABLE 1.
Severe Sepsis Consensus Definitiona | EHR Clinical Surveillance Definition | |
---|---|---|
Sepsis |
|
|
Organ Dysfunction |
|
|
NOTE. INR, international normalized ratio.
Adapted from the 1991 American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference Committee, 2001 Society of Critical Care Medicine/ European Society of Intensive Care Medicine/American College of Chest Physicians/ American Thoracic Society/ Surgical Infection Society International Sepsis Definitions Conference, and 2012 Surviving Sepsis Campaign Guidelines.
New intravenous antibiotic defined by washout period of 2 days. Any subsequent oral antibiotic also requires washout period of 2 days.
Vasopressor=norepinephrine, dopamine, vasopressin, epinephrine, phenylephrine.
Baseline values are defined as lowest for creatinine, bilirubin, and INR from day −30 of hospitalization admission to day of discharge, or the highest for platelets from day −30 of admission to day of discharge.
End-stage renal disease defined by International Classification of Diseases, Ninth Revision, Clinical Modification code of 585.6.
Any order for warfarin from day −30 of admission to day of hospital discharge.
Serum lactate was not included in the primary surveillance definition, but was included in a secondary definition.