Minnesota Hospital Association



Request for Participation in “Seeing Sepsis” Facility ExpectationsImplement sepsis early detection and treatment protocols as provided in Seeing Sepsis toolkitBaseline and Monthly Submission of outcome and process data:Sepsis mortality = # in-hospital deaths x 100 # septic patientsLactate-Blood culture ratio = # lactate orders x 100 # blood culture ordersImplementation SupportOnline data submissionExamples of tools:“Seeing Sepsis" early detection tools and graphics for ED and inpatient units, including transfer trigger tool “Seeing Sepsis"“Act Fast” poster“Seeing Sepsis" ED algorithm and ED triage posterSevere sepsis order bundles for hospitals with and without ICUSepsis coding/documentation toolSepsis performance improvement tool Sepsis simulation tools – ED and inpatient“Seeing Sepsis" staff education videosForums for sharing successes and challenges such as monthly conference calls and/or one to one coaching with seeing sepsis team, webinars and listserv. To participate in “Seeing Sepsis”, complete the form below and fax to MHA patient safety/ quality team, 651-659-1477 (fax) or you may submit by email to patientsafetyquality@Seeing Sepsis Call to ParticipateOur facility agrees to participate in “Seeing Sepsis.”Facility Name: _______________________________________________________________________CEO SignatureDateFacility key contact for the Seeing Sepsis:NameTitle Phone NumberEmail Address Please complete this form and fax to MHA patient safety/ quality team (651) 659-1477 or email to patientsafetyquality@ ................
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