Sepsis Screening/Surveillance

1. Does your hospital have a standardized surveillance or routine screening process for early detection of sepsis, severe sepsis, and/or septic shock?  Y/N/NA   If yes, see below:
a. Locations that have standardized surveillance:  ED, Urgent care, Acute care, transitional care, ICU, other
b. Is there automated continuous surveillance of data in electronic health record? Y/N
i. Who receives alerts? –RN, MD, Pharmacy, Rapid response clinicians others, all
ii. What action does the alert prompt/activate? –Notification instructions, bringing clinicians to see patient, orders for care diagnostics or interventions  other
c. Is there intermittent routine screening by clinicians/nurses using a standardized process e.g. sepsis checklist, section of assessment flow-sheet, etc?
i. What is the frequency of intermittent screening? Every 8 hrs, 12 hrs, 24 hrs, and/or PRN change in patient condition
ii. What action does the intermittent screening result prompt/activate? Notification instructions, bringing clinicians to see patient, orders for care diagnostics or interventions, other
2. Does your Emergency Department have an active surveillance or routine screening process for early detection of sepsis, severe sepsis, septic shock? Y/N/NA
a. If yes, is it electronic-based? Y/N
3. Does your Urgent Care Department have an active surveillance or routine screening process for early detection of sepsis, severe sepsis, septic shock?  Y/N/NA
a. If yes, is it electronic-based? Y/N