[Michelle Zacarias]

I have a question regarding Sepsis.  I have cases where the Crystalloid Fluid Admin Time <=180 (which is good) but the Shock 6 Hours Counter 0 < 1 so the case falls out.  In each of the cases, they get 30 mL/kg fluid, they have septic shock, they do NOT have persistent hypotension or new onset hypotension, they DO fall out because there is no documentation of capillary refill and the CVP, CVO2, bedside CVD US, and passive leg raise are all NO.  I know each of the cases fall out because of the lack of documentation but why is Quantros giving the ‘Measure Category Reason’ of “Crystalloid Fluid Admin Time <=180,Shock 6 Hours Counter 0 < 1”?  It’s not a clear explanation.

 

Anyone has similar problem with their vendor utilizing Quantros? I'm new to abstracting Sepsis?

Thank you.

Michelle