Medical Director Findings

Medical Director Summary — 2026-1Q

In 2026-1Q, EMS documented 63 suspected sepsis cases (primary impression A41.9). 38 (60.3%) met SIRS criteria and 29 (46.0%) were qSOFA-positive. A sepsis alert was activated on 23 (36.5%) of cases. Full vitals were documented on 38 (60.3%). Among SIRS-positive patients, 25 (65.8%) received an IV fluid bolus; point-of-care lactate was obtained in 22 (34.9%) and ETCO₂ in 38 (60.3%). 0 of 63 (0.0%) were delivered to a sepsis-capable center.

Focus Areas This Quarter

Action Items

Sepsis alert rate (36.5%) is below the 80% target.

17 SIRS-positive case(s) had no sepsis alert — itemized in the flag sheet.

Vitals completeness (60.3%) below the 90% target.

IV fluids on SIRS-positive patients (65.8%) below the 75% target.

2 alert(s) documented under a non-sepsis type — documentation mismatch.

Quarter-over-Quarter Change — 2025-4Q → 2026-1Q

Trend vs Prior Quarter

Sepsis alert rate held steady ▬ 0.0 pts (36.5% → 36.5%)

Vitals complete held steady ▬ 0.0 pts (60.3% → 60.3%)

Fluids on SIRS+ held steady ▬ 0.0 pts (65.8% → 65.8%)

Lactate obtained held steady ▬ 0.0 pts (34.9% → 34.9%)

Suspected sepsis cases unchanged ▬ 0 (63 → 63)

SIRS positive unchanged ▬ 0 (38 → 38)