Surviving Sepsis Campaign Data Collection Tool Data Table/Export Identifiers. 1 P a g e

Transcription

1 Surviving Sepsis Campaign Data Collection Tool Data Table/Export Identifiers 1 P a g e

2 Table Documentation for C:\SepsisDB\V2007\SurvivingSepsis.a.accdb Table Purpose Key Field(s) Abx antibiotics ChartID, Antibiotic, Drug, DrugTime, SiteID ABxArchive antibiotics ChartID, Antibiotic, Drug, DrugTime, SiteID ABXLookup Apache ApacheArchive Chart ChartArchive ChartDefaults CodeBook Antibiotic ChartID ChartID ChartID ChartID SiteID TableName, FieldName, Code FTPClient Site Transmit Table and Field Listing 2 P a g e

3 Table Field Description Type Code Text Abx ChartID Antibiotic broad-spectrum antibiotic Text Drug date of antibiotic administration DrugTime time of antibiotic administration SiteID TxtOtherABx specify other antibiotic Text ABxArchive ChartID Antibiotic broad-spectrum antibiotic Text Drug date of antibiotic administration DrugTime time of antibiotic administration SiteID TxtOtherABx specify other antibiotic Text ABXLookup Antibiotic Text Apache ChartID SiteID Temp core temperature, C Single 3 P a g e

4 ArtPressure mean arterial pressure, mm Hg HR heart rate RR respiratory rate, nonventilated or ventilated OxygenA oxygenation, Fio2>=.05, using A- ado2 OxygenB oxygenation, Fio2<.05, using PAO2, mm hg ArtpH arterial ph Single Na serum Na, mmol/l K serum K, mmol/l Single Creat serum creatinine, mg/dl Single ARF acute renal failure 1 No HCT Hct % Single WBC in 1000's Single GCS glascow coma score 2 Yes CHS chronic health status 0 None of above 2 Elective postop w/immunocompromise or hx of 4 P a g e

5 organ insufficiency 5 Nonoperative or emergence postop with immunocompromise or organ insufficiency HCO serum HCO3, venous-mmol/l Single Apache1 apache--temp score Apache2 apache--aprterial pressure score Apache3 apache--heart rate score Apache4 apache--respiratory rate score Apache5 apache--oxygenation score Apache6 apache--arterial ph score Apache7 apache--serum Na score Apache8 apache--serum K score Apache9 apache--serum creatinine score Apache10 apache--hct score Apache11 apache--wbc score Apache12 apache--glascow coma score Apache13 apache--serum HCO3 score Apache14 apache--age score 5 P a g e

6 ApacheArchive ChartID SiteID Temp core temperature, C Single ArtPressure mean arterial pressure, mm Hg HR heart rate RR respiratory rate, nonventilated or ventilated OxygenA oxygenation, Fio2>=.05, using A- ado2 OxygenB oxygenation, Fio2<.05, using PAO2, mm hg ArtpH arterial ph Single Na serum Na, mmol/l K serum K, mmol/l Single Creat serum creatinine, mg/dl Single ARF acute renal failure HCT Hct % Single WBC in 1000's Single GCS glascow coma score 6 P a g e

7 CHS chronic health status HCO serum HCO3, venous-mmol/l Single Apache1 apache--temp score Apache2 apache--aprterial pressure score Apache3 apache--heart rate score Apache4 apache--respiratory rate score Apache5 apache--oxygenation score Apache6 apache--arterial ph score Apache7 apache--serum Na score Apache8 apache--serum K score Apache9 apache--serum creatinine score Apache10 apache--hct score Apache11 apache--wbc score Apache12 apache--glascow coma score Apache13 apache--serum HCO3 score Apache14 apache--age score Chart ChartID SiteID 7 P a g e

8 PatientID Sepsis Admit Patient identifier assigned at site, first and last initials, last 4 digits of MRN, date treated (MMDDYY) met criteria for severe sepsis or septic shock Admission characteristic, admitted to ICU from ED, other unit, or already in ICU with other diagnosis Text 1 Severe sepsis 2 Septic shock 1 From ED 2 From Other Unit 3 in ICU with other diagnosis Admit date of hospital admission AdmitTime time of hospital admission Present PresentTime DOB Age date of presentation with sepsis (Time 0) time of presentation with sepsis (Time 0) Calculated for presentation date, right truncated at 85 for export Gender 1 Female 8 P a g e

9 LactateDone serum lactate obtained after time of presentation 2 Male 0 No 1 Yes 99 Unknown Lactate serum lactate value Single LactateUnit serum lactate units 1 mmol/l 2 mg/dl Lactate LactateTime date of serum lactate obtained after time of presentation time of serum lactate obtained after time of presentation Abx broad-spectrum antibiotic received 0 No 1 Yes 88 Started previously 99 Unknown CultureDone blood culture done 0 No 1 Yes 88 Collected previously 9 P a g e

10 99 Unknown Culture CultureTime date of blood culture obtained after time of presentation time of blood culture obtained after time of presentation Hypo was patient hypotensive 0 No 1 Yes SBP90 if hypotensive, SBP<90 mm Hg 0 No 1 Yes 88 N/A MAP65 if hypotensive, MAP<65 mm Hg 0 No 1 Yes 88 N/A SBPDecrease Crystalloid if hypotensive, SBP decrease of >=40 mm Hg patient received >=30ml/kg crystalloid for hypotension or lactate>=4mmol/l (36 mg/dl) 0 No 1 Yes 88 N/A 0 No 10 P a g e

11 MAP65Fluid Pressors MAP65Pressors if hypotensive or lactate>=4mmol/l (36 mg/dl), MAP remained >=65 mmhg after initial fluid resuscitation if hypotensive after fluid challenge, did patient receive vasopressors? if hypotensive or lactate>=4mmol/l (36 mg/dl), MAP remained >=65 mmhg without the use of vasopressors 1 Yes 88 N/A 0 No 1 Yes 88 N/A 99 Unknown 0 No 1 Yes 88 N/A 99 Unknown 0 No 1 Yes 88 N/A 99 Unknown 11 P a g e

12 CVP8 CVP8 CVP8Time ScvO2 if hypotensive or lactate>=4mmol/l (36 mg/dl), was CVP>=8 mm hg obtained within 24 hours? date of CVP>=8 mm hg obtained within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) time of CVP>=8 mm hg obtained within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) if hypotensive or lactate>=4mmol/l (36 mg/dl), was ScvO2 70% obtained within 24 hours? 0 First >=8 mm hg after 24 hours 1 First >=8 mm hg within 24 hours 2 Not obtained 88 N/A 99 Unknown 0 First 70% after 24 hours 1 First 70% within 24 hours 2 Not obtained 88 N/A 99 Unknown 12 P a g e

13 ScvO2 ScvO2Time CVPMeasured CVPMeasured CVPMeasuredTime ScvO2Measured date of ScvO2 70% obtained within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) time of ScvO2 70% obtained within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) if hypotensive or lactate>=4mmol/l (36 mg/dl), was CVP measured within 24 hours? date of CVP>=8 mm Hg measured within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) time of CVP>=8 mm Hg measured within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) if hypotensive or lactate>=4mmol/l (36 mg/dl), was ScvO2 measured 0 First CVP measured after 24 hours 1 First CVP measured within 24 hours 2 Not obtained 88 N/A 0 First ScvO2 measured after 24 hours 13 P a g e

14 within 24 hours? 1 First ScvO2 measured within 24 hours 2 Not obtained 88 N/A ScvO2Measured date of ScvO2 measured within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) ScvO2MeasuredTime time of ScvO2 measured within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) CL if persistent arterial hypotension or lactate >=4mmol/L (36 mg/dl), was a central line inserted after the time of presentation? CL date of central line insertion CLTime time of central line insertion DC date of hospital discharge DCTime time of hospital discharge Status status at hospital discharge 0 Deceased 14 P a g e

15 1 Alive 99 Unknown Record B3_1 B3_2 B3_3 B3_4 B3_All Mortality 3 Hr Bundle 1--serum lactate measure within 3 hours 3 Hr Bundle 2--blood cultures collected before broad spectrum antibiotic 3 Hr Bundle 3--broad spectrum antibiotic administered within 3 hours 3 Hr Bundle 4--fluid bolus if needed for hypotension or lactacte>=4mmhg within 3 hours 3 Hr Bundle 5--compliance with all applicable elements of 3 hr bundle All bundles--mortality due to severe sepsis or septic shock BM_1 6 Hr Bundle measured 1-- vasopressors if needed after fluid bolus failed to maintain MAP>=65mmHg within 6 hours 15 P a g e

16 BM_2 6 Hr Bundle measured 2--CVP measured if shock or lactate>=4 within 6 hours BM_3 6 Hr Bundle measured 3-- ScvO2/SvO2 measured if shock or lactate>=4 within 6 hours Remeasure 6 Hr Bundle measured 4--lactate remeasured if initial lactate>2 within 6 hours BM_All 6 Hr Bundle measured 5-- compliance with all elements of the measured 6 hour bundle BM_Both 6 Hr Bundle measured 6-- compliance with all applicable elements of the 3 hour bundle and achieved 6 hour bundle BA_1 6 Hr Bundle achieved 1-- vasopressors if needed after fluid bolus failed to maintain MAP>=65mmHg within 6 hours BA_2 6 Hr Bundle achieved 2--CVP >=8mmHg if shock or lactate>=4 within 6 hours BA_3 6 Hr Bundle achieved 3--ScvO2 70% or SvO2 65% achieved if shock or 16 P a g e

17 lactate>=4 within 6 hours BA_All 6 Hr Bundle achieved 5-- compliance with all applicable elements of the achieved 6 hourbundle BA_Both 6 Hr Bundle achieved 6-- compliance with all applicable elements of the 3 hour bundle and achieved 6 hour bundle QScore3 3 Hr Bundle--Total quality score QScoreM QScoreA QScoreApplicable QScoreUnique Pneumonia 6 Hr Bundle measured--total quality score 6 Hr Bundle achieved--total quality score number of unique indicators applicable to this patient number of unique indicators satisfied Screen 1: new infection-- pneumonia/empyema UTI Screen 1: new infection--uti Abdominal Screen 1: new infection--acute 17 P a g e

18 abdominal infection Meningitis Screen 1: new infection--meningitis Skin Bone Wound Catheter Endocarditis Device OtherInfection Hyperthermia Hypothermia Screen 1: new infection--skin/soft tissue inflammation Screen 1: new infection--bone/joint infectoin Screen 1: new infection--wound infection Screen 1: new infection--catheter infection Screen 1: new infection-- endocarditis Screen 1: new infection-device infection Screen 1: new infection--other infection Screen 2: sign or symptom of infection--hyperthermia>38.3 C (101.0 F) Screen 2: sign or symptom of infection--hypothermia<36 C (96.8 F) 18 P a g e

19 Chills Tachycardia Tachypnea Leukopenia Leukocytosis Hyperglycemia Mental Suspect SuspectTime Screen 2: sign or symptom of infection--chills with rigors-- DISCONTINUED ITEM JUNE 2013 Screen 2: sign or symptom of infection--tachycardia > 90 bpm Screen 2: sign or symptom of infection--tachypnea >20 bpm Screen 2: sign or symptom of infection--leukopenia (WBC count<4000 ul-1) Screen 2: sign or symptom of infection--leukocytosis (WBC count>12,000 ul-1) Screen 2: sign or symptom of infection--hyperglycemia (plasma glucose>140 mg/dl) in absence of diabetes Screen 2: remote organ dysfunction--acutely altered mental status date suspicion of infection is present time suspicion of infection is present 19 P a g e

20 ScreenSBP ScreenSBPDecrease SpO2 Creatinine Bilirubin Platelet Coagulopathy Screen 3: remote organ dysfunction--sbp<90 or MAP<65 Screen 3: remote organ dysfunction--spb decrease>40 mmhg from baseline Screen 3: remote organ dysfunction--acute lung injury with Pao2/Fio2 <200 in the presence of pneumonia as infection source--item CHANGED JUNE 2013 Screen 3: remote organ dysfunction--creatinine>2.0mg/dl ( mmol/l) or urine output<0.5 ml/kg/hour for 2 hours Screen 3: remote organ dysfunction--bilirubin> 2 mg/dl (34.2 mmol/l) Screen 3: remote organ dysfunction--platelet count<100,000 Screen 3: remote organ dysfunction--coagulopathy (INR>1.5 or aptt>60 secs) ScreenLactate Screen 3: remote organ 20 P a g e

21 Pulmonary dysfunction--lactate>2 mmol/l (18.0 mg/dl) Screen 3: remote organ dysfunction--acute lung injury with Pao2/Fio2 ratio <250 in the absence of pneumonia as infection source--item CHANGED JUNE 2013 ICUAdmit date of ICU admission ICUAdmitTime time of ICU admission ICUDC date of ICU discharge ICUDCTime time of ICU discharge ElevatedLactate lactate >=4 mmol/dl or 36 mg/dl CatheterType 1 Intermittent 2 Continuous 88 N/A AdmitET LactateET CultureET CVP8ET 21 P a g e

22 ScvO2ET CVPMeasuredET ScvO2MeasuredET DCET ICUAdmitET ICUDCET SuspectET Updated Completed Data entry complete Integer 0 Data entry incomplete 1 Yes 3 Data entry complete for 3 but not 6 hour bundles PatientID2 IndexChartID CCUAdmission NoGlucose PresentYear PresentMonth Text Integer 22 P a g e

23 Note CLET elapsed time between presentation and central line placement in minutes Text APACHE total APACHE II score RepeatLactate was lactate repeated within 6 hours of presentation (applies if initial lactate>2) 0 Lactate remeasured after 6 hours 1 Lactate remeasured within 6 hours 2 Not remeasured 88 N/A LowestLactate lowest lactate obtained within 6 hours of presentation Single RepeatLactate RepeatLactateTime RepeatLactateET date of first repeat lactate obtained within 6 hours of presentation time of first repeat lactate obtained within 6 hours of presentation elapsed time between presentation and first repeat lactate Crystalloid date of Crystalloid delivery CrystalloidTime time of Crystalloid delivery 23 P a g e

24 CrystalloidET elapsed time between presentation and Crystalloid delivery EDTriage date of ED triage EDTriageTime time of ED triage EDTriageET elapsed time between presentation and ED triage *ED triage changed to last sepsis screen -June 2013 ChartArchive ChartID SiteID PatientID Sepsis Admit Patient identifier assigned at site, first and last initials, last 4 digits of MRN, date treated (MMDDYY) met criteria for severe sepsis or septic shock Admission characteristic, admitted to ICU from ED, other unit, or already in ICU with other diagnosis Text Admit date of hospital admission AdmitTime time of hospital admission Present date of presentation with sepsis 24 P a g e

25 PresentTime DOB Age Gender LactateDone (Time 0) time of presentation with sepsis (Time 0) Calculated for presentation date, right truncated at 85 for export serum lactate obtained after time of presentation Lactate serum lactate value Single LactateUnit serum lactate units Lactate LactateTime date of serum lactate obtained after time of presentation time of serum lactate obtained after time of presentation Abx broad-spectrum antibiotic received CultureDone blood culture done Culture CultureTime date of blood culture obtained after time of presentation time of blood culture obtained after time of presentation 25 P a g e

26 Hypo was patient hypotensive SBP90 if hypotensive, SBP<90 mm hg MAP65 if hypotensive, MAP<65 mm hg SBPDecrease Crystalloid MAP65Fluid Pressors MAP65Pressors CVP8 CVP8 if hypotensive, SBP decrease of >=40 mm hg patient received >=30ml/kg crystalloid for hypotension or lactate >=4mmol/L (36 mg/dl) if hypotensive or lactate 4mmol/L (36 mg/dl), MAP remained >=65 after inital fluid resusitation if hypotensive, did patient received vasopressors? if hypotensive or lactate>=4mmol/l (36 mg/dl), MAP remained >=65 without the use of vasopressors if hypotensive or lactate>=4mmol/l (36 mg/dl), was CVP>=8 mm hg obtained within 24 hours? date of CVP>=8 mm hg obtained within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) 26 P a g e

27 CVP8Time ScvO2 ScvO2 ScvO2Time CVPMeasured CVPMeasured CVPMeasuredTime time of CVP>=8 mm hg obtained within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) if hypotensive or lactate>=4mmol/l (36 mg/dl), was ScvO2 70% obtained within 24 hours? date of ScvO2 70% obtained within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) time of ScvO2 70% obtained within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) if hypotensive or lactate>=4mmol/l (36 mg/dl), was CVP measured within 24 hours? date of CVP>=8 mm hg measured within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) time of CVP>=8 mm hg measured within 24 hours after time of presentation if hypotensive or 27 P a g e

28 ScvO2Measured lactate>=4mmol/l (36 mg/dl) if hypotensive or lactate>=4mmol/l (36 mg/dl), was ScvO2 measured within 24 hours? ScvO2Measured date of ScvO2 measured within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) ScvO2MeasuredTime time of ScvO2 measured within 24 hours after time of presentation if hypotensive or lactate>=4mmol/l (36 mg/dl) CL if persistent arterial hypotension, was a central line inserted after the time of presentation? CL date of central line insertion CLTime time of central line insertion DC date of hospital discharge DCTime time of hospital discharge Status status at hospital discharge Record B3_1 3 Hr Bundle 1--serum lactate 28 P a g e

29 B3_2 B3_3 B3_4 B3_All Mortality measure within 3 hours 3 Hr Bundle 2--blood cultures collected before broad spectrum antibiotic 3 Hr Bundle 3--broad spectrum antibiotic administered within 3 hours 3 Hr Bundle 4--fluid bolus if needed for hypotension or lactacte>=4mmhg within 3 hours 3 Hr Bundle 5--compliance with all applicable elements of 3 hr bundle All bundles--mortality due to severe sepsis or septic shock BM_1 6 Hr Bundle measured 1-- vasopressors if needed after fluid bolus failed to maintain MAP>=65mmHg within 6 hours BM_2 6 Hr Bundle measured 2--CVP measured if shock or lactate>=4 within 6 hours BM_3 6 Hr Bundle measured 3-- ScvO2/SvO2 measured if shock or lactate>=4 within 6 hours 29 P a g e

30 Remeasure 6 Hr Bundle measured 4--lactate remeasured if lactate>=4 within 6 hours BM_All 6 Hr Bundle measured 5-- compliance with all elements of the measured septic shock bundle BM_Both 6 Hr Bundle measured 6-- compliance with all applicable elements of the 3 hour bundle and achieved septic shock bundle BA_1 6 Hr Bundle achieved 1-- vasopressors if needed after fluid bolus failed to maintain MAP>=65mmHg within 6 hours BA_2 6 Hr Bundle achieved 2--CVP >=8mmHg if shock or lactate>=4 within 6 hours BA_3 6 Hr Bundle achieved 3--ScvO2 70% or SvO2 65% achieved if shock or lactate>=4 within 6 hours BA_All 6 Hr Bundle achieved 5-- compliance with all applicable elements of the achieved 6 hour bundle 30 P a g e

31 BA_Both 6 Hr Bundle achieved 6-- compliance with all applicable elements of the 3 hour bundle and achieved 6 hour bundle QScore3 3 Hr Bundle--Total quality score QScoreM QScoreA QScoreApplicable QScoreUnique Pneumonia 6 Hr Bundle measured--total quality score 6 Hr Bundle achieved--total quality score number of unique indicators applicable to this patient number of unique indicators satisfied Screen 1: new infection-- pneumonia/empyema UTI Screen 1: new infection--uti Abdominal Screen 1: new infection--acute abdominal infection Meningitis Screen 1: new infection--meningitis Skin Screen 1: new infection--skin/soft tissue inflammation Bone Screen 1: new infection--bone/joint 31 P a g e

32 Wound Catheter Endocarditis Device OtherInfection Hyperthermia Hypothermia Chills Tachycardia infectoin Screen 1: new infection--wound infection Screen 1: new infection--catheter infection Screen 1: new infection-- endocarditis Screen 1: new infection-device infection Screen 1: new infection--other infection Screen 2: sign or symptom of infection--hyperthermia>38.3 C (101.0 F) Screen 2: sign or symptom of infection--hypothermia<36 C (96.8 F) Screen 2: sign or symptom of infection--chills with rigors DISCONTINUED ITEM JUNE 2013 Screen 2: sign or symptom of infection--tachycardia > 90 bpm 32 P a g e

33 Tachypnea Leukopenia Leukocytosis Hyperglycemia Mental Suspect SuspectTime ScreenSBP ScreenSBPDecrease Screen 2: sign or symptom of infection--tachypnea >20 bpm Screen 2: sign or symptom of infection--leukopenia (WBC count<4000 ul-1) Screen 2: sign or symptom of infection--leukocytosis (WBC count>12,000 ul-1) Screen 2: sign or symptom of infection--hyperglycemia (plasma glucose>140 mg/dl) in absence of diabetes Change from 120 to 140 June 2013 Screen 2: remote organ dysfunction--acutely altered mental status date suspicion of infection is present time suspicion of infection is present Screen 3: remote organ dysfunction--sbp<90 or MAP<65 Screen 3: remote organ dysfunction--spb decrease>40 33 P a g e

34 SpO2 Creatinine Bilirubin Platelet Coagulopathy ScreenLactate Pulmonary mmhg from baseline Screen 3: remote organ dysfunction --Acute lung injury with Pao2/Fio2 <200 in the presence of pneumonia as infection source--item CHANGED JUNE 2013 Screen 3: remote organ dysfunction--creatinine>2.0mg/dl ( mmol/l) or urine output<0.5 ml/kg/hour for 2 hours Screen 3: remote organ dysfunction--bilirubin> 2 mg/dl (34.2 mmol/l) Screen 3: remote organ dysfunction--platelet count<100,000 Screen 3: remote organ dysfunction--coagulopathy (INR>1.5 or aptt>60 secs) Screen 3: remote organ dysfunction--lactate>2 mmol/l (18.0 mg/dl) Screen 3: remote organ dysfunction-- Acute lung injury with 34 P a g e

35 Pao2/Fio2 ratio <250 in the absence of pneumonia as infection source --ITEM CHANGED JUNE 2013 ICUAdmit date of ICU admission ICUAdmitTime time of ICU admission ICUDC date of ICU discharge ICUDCTime time of ICU discharge ElevatedLactate lactate >=4 mmol/dl or 36 mg/dl CatheterType AdmitET LactateET CultureET CVP8ET ScvO2ET CVPMeasuredET ScvO2MeasuredET DCET ICUAdmitET ICUDCET 35 P a g e

36 SuspectET Updated Completed Data entry complete Integer PatientID2 IndexChartID CCUAdmission NoGlucose PresentYear PresentMonth Note CLET elapsed time between presentation and central line placement in minutes Text Integer Text APACHE total APACHE II score RepeatLactate was lactate repeated within 6 hours of presentation (applies if initial lactate>2) LowestLactate lowest lactate obtained within 6 hours of presentation Single RepeatLactate date of first repeat lactate obtained 36 P a g e

37 RepeatLactateTime RepeatLactateET within 6 hours of presentation time of first repeat lactate obtained within 6 hours of presentation elapsed time between presentation and first repeat lactate Crystalloid date of Crystalloid delivery CrystalloidTime time of Crystalloid delivery CrystalloidET elapsed time between presentation and Crystalloid delivery EDTriage date of ED triage EDTriageTime time of ED triage EDTriageET elapsed time between presentation and ED triage *ED triage changed to last sepsis screen -June 2013 ChartDefaults SiteID centrally assigned site id number Site locally assigned site name Text FirstName contact first name Text LastName contact last name Text Title contact title Text 37 P a g e

38 Street1 street address Text Street2 street address Text City State Country Zip CaseMix Text Text Text Text Text Academic site type Community site type University university affiliated Tertiary site type--tertiary care Quaternary site type-quaternary care Contact contact address Text IHI IHI registered address Text ICUClosed icu is managed by intensivists ICUOpen icu is managed by admitting specialty SICU surgical icu 38 P a g e

39 MICU medical icu NumVent number ventilated beds NumNonVent number nonventilated beds EDLink formal relationship exists with ED for care of septic patients UnivLink educational/university link TxtUnivLink describe educational/university link Text ReportOutcome part of national or regional outcomes reporting systems APII use AP II severity scoring SAPSII use SAPS II severity scoring OtherScore use other severity scoring txtotherscore describe other severity scoring Text LactateUnit CodeBook TableName Text FieldName Code Description Comment Text Text Text 39 P a g e

40 Default FTPClient FTPClient ftp client file location Text Site SiteID Transmit Transmit 40 P a g e