Commissioner's Grand Rounds Sepsis Syndrome 2015

Presenters:

Howard A. Zucker, M.D., J.D., Commissioner, New York State Department of Health
Michael Aronica, M.D. Associate Professor of Clinical Internal Medicine and Pediatrics and Program Director, Combined Internal Medicine-Pediatrics Residency Program, SUNY Buffalo School of Medicine and Biomedical Sciences
Amanda Hassinger, M.D. Assistant Professor, Department of Pediatrics, SUNY Buffalo School of Medicine and Biomedical Sciences and Director of Patient Safety and Quality, Pediatric Critical Care, Women and Children’s Hospital of Buffalo
Thomas Russo, M.D. Professor and Chief, Infectious Disease, Department of Medicine, SUNY Buffalo School of Medicine and Biomedical Sciences

At the conclusion of the presentation, the participants will be able to:

Identify those children and adults who are at high risk of sepsis
Describe the elements of the patient history and physical examination that should lead the health care practitioner to suspect sepsis
Describe the elements of the patient history and physical examination that should lead the health care practitioner to suspect sepsis
Explain the need for urgency in referring patients for timely treatment with antibiotics and supportive care and protocols for such treatment

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Participant Information

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Do you work with medically underserved communities and/or special populations? *
Note: Medically Underserved Populations may include groups of persons who face economic, cultural or linguistic barriers to health care.

Motivation to Participate

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Program Evaluation

Using the rating scale, please rate the following.

Overall, the course was high quality. *

Learning Outcome
As a result of this educational activity, I have increased and enhanced my knowledge and competence on: *
“Sepsis is a potentially life threatening complication of an infection that results in high mortality rates. The presentation of sepsis in different patient groups can be variable but most important to successful treatment and survival is early recognition of the possibility of sepsis and urgent referral to hospitals for antibiotics and supportive care. Unaudited data from the New York State Sepsis Initiative, which focuses on hospital inpatient care providing the severe sepsis interventions bundle (blood culture/broad spectrum antibiotics/lactate) resulted with considerable variations. (1) 1) The adult 3 hour bundle rate at approximately 46% 2) The adult 6 hour bundle rate at approximately 25% 3) The pediatric 1 hour bundle rate at approximately 12% 4) Aggregate rates of protocol implementation are around 80% These percentages refer to the statewide average of patients (in acute care hospitals) who receive all recommended interventions within 3 hours, in the case of patients with severe sepsis, and within 6 hours, for patients who go on to have septic shock. Considering the variation seen across 180+ hospitals, this data represents a significant step down from 100% performance, and represents an opportunity to improve care, save lives.Primary care providers are often the first contact a septic patient has with the health care system; these providers also need to be able to recognize sepsis in a timely manner and make appropriate referrals.”

Objectives/Learner's achievement of each objective
As a result of this educational activity, I am able to:

Identify those children and adults who are at high risk of sepsis *

Describe the elements of the patient history and physical examination that should lead the health care practitioner to suspect sepsis *

Explain the need for urgency in referring patients for timely treatment with antibiotics and supportive care and protocols for such treatment *

Presenters

Presenter 1
Howard A. Zucker, M.D., J.D., Commissioner, New York State Department of Health

Is knowledgeable in content area *

Content is consistent with objectives *

Teaching strategies were appropriate for topic *

Teaching by this presenter was effective *

Presenter 2
Michael Aronica, M.D. Associate Professor of Clinical Internal Medicine and Pediatrics and Program Director, Combined Internal Medicine-Pediatrics Residency Program, SUNY Buffalo School of Medicine and Biomedical Sciences

Is knowledgeable in content area *

Content is consistent with objectives *

Teaching strategies were appropriate for topic *

Teaching by this presenter was effective *

Presenter 3
Amanda Hassinger, M.D. Assistant Professor, Department of Pediatrics, SUNY Buffalo School of Medicine and Biomedical Sciences and Director of Patient Safety and Quality, Pediatric Critical Care, Women and Children’s Hospital of Buffalo

Is knowledgeable in content area *

Content is consistent with objectives *

Teaching strategies were appropriate for topic *

Teaching by this presenter was effective *

Presenter 4
Thomas Russo, M.D. Professor and Chief, Infectious Disease, Department of Medicine, SUNY Buffalo School of Medicine and Biomedical Sciences

Is knowledgeable in content area *

Content is consistent with objectives *

Teaching strategies were appropriate for topic *

Teaching by this presenter was effective *

Conflict of Interest

Was information related to presenter conflict of interest and/or commercial bias shared with you before or during the activity? *

Was this activity free of commercial bias or conflict? *

If not, why?

Outcomes of Education

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Please list up to three specific barriers you have identified that will prevent you from incorporating what you have learned into practice.

Comments

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(Not eligible for continuing education credits)