Please enable JavaScript.

Coggle requires JavaScript to display documents.

Sepsis — CDI/Revenue Integrity Decision Map (Accuity-style, post-discharge…

- - - - Cultures ordered (blood/urine/sputum/wound) and results when available
      - Imaging supporting infection (e.g., CXR infiltrate)
      - Antibiotics/antifungals initiated for suspected infection
      - Source-specific symptoms/exam (e.g., dysuria/flank pain; cough/hypoxia)
    - - Pneumonia / aspiration
      - UTI / pyelonephritis / obstructive uropathy
      - Intra-abdominal (cholangitis, perforation, abscess)
      - Skin/soft tissue (cellulitis vs nec fasc)
      - Line-associated / device-associated
      - Other: endocarditis, bone/joint, CNS
  - - - New/increased O2 requirement, hypoxemia, ventilatory support
    - - Hypotension, signs of hypoperfusion, need for vasopressors
      - Lactate elevation/trend (context: hypoperfusion marker)
    - - New AKI (rising creatinine) or oliguria
    - - New delirium/encephalopathy or decreased GCS
    - - Thrombocytopenia, coagulopathy
    - - Elevated bilirubin / acute hepatic dysfunction
  - - - Infection present but no clear organ dysfunction attributable to dysregulated response
      - Consider alternate explanations for abnormalities (dehydration, CHF, meds, etc.)
    - - Infection + organ dysfunction (documented by provider and supported in record)
    - - Persistent hypotension requiring vasopressors to maintain perfusion after fluids AND evidence of tissue hypoperfusion (often lactate >2 mmol/L)
- - - - Based on [infection evidence] + [organ dysfunction], can you clarify whether the patient had: sepsis / infection without sepsis / unable to determine?
    - - Given hypotension/pressor use and lactate trend after fluids, can you clarify: septic shock / sepsis without shock / other / unable to determine?
    - - Can you specify the suspected/confirmed infectious source (e.g., pneumonia, UTI, intra-abdominal, line-associated, other)?
    - - Can you clarify whether the condition was present on admission or developed after admission (with timing if known)?
    - - Can you clarify whether [AKI/resp failure/AMS/etc.] was attributable to sepsis versus another cause?