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EMS ANALYTICS
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Sepsis QI Performance Dashboard
Policy PD# xxxx  ·  NEMSIS 3.5 / 3.5.1  ·  2026-1Q
DashboardMedical Director FindingsDefinitions
How each prehospital Sepsis QI measure is computed from the NEMSIS export, with the data elements each one reads shown alongside. SIRS/qSOFA thresholds, the required vitals set, and bundle codes are editable in sepsis_config.py.
Suspected Sepsis (cohort)
The denominator for this dashboard: records whose primary impression documents sepsis. Shared inclusion criteria (emergency response, ED destination, transported by this unit) are applied first.
Related Elements
eSituation.11
SIRS — Systemic Inflammatory Response
Positive when at least 2 criteria are met from documented vitals: temperature >38.0°C or <36.0°C, heart rate >90, or respiratory rate >20. (WBC is hospital-only and excluded.) Thresholds editable in sepsis_config.py.
Related Elements
eVitals.24eVitals.10eVitals.14
qSOFA — quick SOFA
One point each for respiratory rate ≥22, systolic BP ≤100, and altered mentation (GCS <15). qSOFA ≥2 flags a high-risk patient who should reach a sepsis-capable center.
Related Elements
eVitals.14eVitals.06eVitals.23
Vitals Completeness
A record counts as a complete sepsis assessment when every required vital is documented (temperature, heart rate, respiratory rate, systolic BP, SpO₂). The required set is editable in sepsis_config.py.
Related Elements
eVitals.24eVitals.10eVitals.14eVitals.06eVitals.12
Sepsis Alert / Pre-Notification
Any affirmative pre-arrival alert documented for a suspected-sepsis patient. The alert rate is alerted cases over all suspected sepsis. An alert documented as a NON-sepsis type is counted but flagged as a documentation mismatch for review.
Related Elements
eDisposition.24
IV Fluid Bolus
A normal-saline or lactated-ringers bolus identified by RXCUI in the medications-given field. The bundle measure is fluids given among SIRS-positive patients, where a bolus is expected.
Related Elements
eMedications.03
Point-of-Care Lactate
A prehospital lactate value documented as a vital, or a lactate procedure performed. Lactate is a key early-sepsis severity marker where the system carries point-of-care testing.
Related Elements
eVitals.33eProcedures.03
ETCO₂
End-tidal CO₂ documented. Low ETCO₂ correlates with elevated lactate and worse perfusion, so its documentation is tracked as part of the assessment bundle.
Related Elements
eVitals.16
Sepsis-Capable Destination
Percentage of transported suspected-sepsis patients delivered to a sepsis-capable center. Designation is resolved from the facilities file tags first, then a per-LEMSA fallback code set.
Related Elements
eDisposition.01eDisposition.02
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