Septris

Identifying and Managing Sepsis

Internet Enduring Material Sponsored By:
Stanford University School of Medicine

Presented by:
Stanford Hospital and Clinics Department of Quality, Patient Safety and Effectiveness

  • Release Date:
    December 12, 2011
  • Expiration Date:
    December 12, 2012
  • Estimated Time to Complete:
    120 minutes
  • CME Processing Fee:
    First 100 learners pay no fee, subsequent learners pay $20
Course Planners & Authors

Lisa Shieh, MD, PhD
Clinical Associate Professor of Medicine
Medical Director of Quality, DOM
Stanford University School of Medicine
Course Director

Eileen P. Pummer, MSN, RN, CPHQ
Quality Manager
Stanford Hospital & Clinics
Course Co-Director

William Daines, MD
Clinical Instructor of Medicine
Stanford University School of Medicine

Paul M. Maggio, MD
Assistant Professor of Surgery
Co-Director of Critical Care Medicine
Stanford University Medical Center

Matthew Strehlow, MD
Clinical Assistant Professor of Surgery
Stanford Hospital & Clinics

Irina Tokareva, BSN, MAS, CPHQ
CME Curriculum and Outcomes Manager
Stanford University School of Medicine

Technical Design &
Development

Brian Tobin
Stanford EdTech

Jamie Tsui
Stanford EdTech

James Laird
jmlaird@gmail.com

Glenn Zephier
gzephier@gmail.com

System Requirements

Runs best on iPad/iPhone or Android. On desktop, requires Firefox 5+, Google Chrome, or Apple Safari.
Internet Explorer is not supported.

Contact Information

For further information regarding the content, CME credit or if you experience any technical difficulties with this enduring material please send an email to stanfordcme@stanford.edu

Disclosures

The following planners and authors have indicated that they have no relationships with industry to disclose relative to the content of this activity:

Lisa Shieh, MD, PhD
Course Director

Eileen P. Pummer, MSN, RN, CPHQ
Course Co-Director

William Daines, MD
Planner

Paul M. Maggio, MD
Planner

Matthew Strehlow, MD
Planner

Irina Tokareva, BSN, MAS, CPHQ
Planner

Home

This interactive case-based online activity is open to all interested learners. Please review all of the information here and click the button at the bottom of the page to begin the course.

Physicians/Learners who wish to obtain CME credit:

  • Review the information below and complete the entire activity
  • Follow the link at the end of the activity to complete online registration, evaluation, and post-test
  • First 100 learners will receive a CME certificate free of charge, subsequent learners will require a $20 CME Processing fee
  • Applicants with a post-test score of 75% (3 out of 4 case-based questions) will receive a CME certificate via email within two weeks from the date of receipt

Course Description

Learning Objectives
  • Classify epidemiology of sepsis syndrome and differentiate between the different forms of sepsis syndromes (simple, severe and septic shock).
  • Integrate best evidence practices, clinical expertise and diagnostic test results for early identification and optimal management of septic states using Stanford's Sepsis Guidelines and order sets.
  • Demonstrate strategies to apply Stanford Sepsis Guidelines including fluid resuscitation and transfer of patient with sepsis to a higher level of care.
  • Describe priority actions for establishing and implementing early goal directed therapies for the septic patients along the continuum of care.
  • Develop and apply interpersonal and communication skills related to early sepsis identification and management of sepsis states when working with other healthcare teams. (e.g. SBAR with identification).

Sepsis strikes approximately 750,000 people in the US and is responsible for more than 215,000 deaths. Mortality remains high at 25-50% at a cost of $17 billion each year [1]. Septic states have become far too common; with unacceptable high mortality rates and lengthy hospitalizations, it is one of the most costly conditions to treat. This activity provides a practical approach to early sepsis identification and application of evidence-based management (best practice) and Stanford's Sepsis Guidelines. Interactive case scenarios will be used to put these principles into practice.

Intended Audience

Designed for hospital-based medical and surgical, intensive care and emergency department physicians and nurses.

Accreditation and Designation of Credits

The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Stanford University School of Medicine designates this enduring material for a maximum of 2 AMA Category 1 Credit TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit Designation statement for RN's

The California Board of Registered Nursing recognizes that Continuing Medical Education (CME) is acceptable for meeting RN continuing education requirements; as long as the course is certified for AMA PRA Category 1 credit(s) TM (rn.ca.gov). Nurses will receive a Certificate of Participation following this activity that may be used for license renewal.

Commercial Support Acknowledgement

Stanford University School of Medicine has received and has used undesignated program funding from Pfizer, Inc. to facilitate the development of innovative CME activities designed to enhance physician competence and performance and to implement advanced technology. A portion of this funding supports this activity.

California Assembly Bill 1195 – Cultural and Linguistic Competency

California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect July 1, 2006, to encourage physicians and surgeons, CME providers in the State of California and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws. You are encouraged to visit the portal:

http://lane.stanford.edu/portals/cultural.html

Please note this is an educational tool and the clinical information found in this game is part an enduring educational material. It should not take the place of practitioner decision-making in clinical circumstances.

1 Angus DC, Linde-Zwirble WT, Lidicker J, Clermont G, Carcillo J, Pinsky MR. Epidemiology of severe sepsis in the United States: Analysis of incidence, outcome, and associated costs of care. Crit Care Med. 2001 Jul;29(7):1303-10.




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