Surviving Sepsis Campaign

Surviving Sepsis > Chart Review Database

CHART REVIEW DATABASE AND USER MANUAL

SSC, "Implementing the Surviving Sepsis Campaign" User Manual

The SSC user manual, "Implementing the Surviving Sepsis Campaign" has been removed from this website. The manual was developed in 2005 and hence is not inclusive of the most recent clinical evidence considered in the 2008 guidelines revision. Very limited numbers of the original printed manual are still available by request at info@survivingsepsis.org. Note shipping charges will apply. Users are cautioned that the manuals have not been updated.
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Chart Review Database

The Chart Review Database is a Microsoft Access-based improvement tool that screens for severe sepsis, collects and organizes data for chart abstraction, and calculates the monthly results of each of the Severe Sepsis Quality Indicators. Enter the results of your chart abstraction and the database automatically generates graphs of your improvement and produces flow charts documenting the results of your resuscitation efforts. Before installing the database, please read all of the information provided on this website regarding installation and consult with your hospital technology department. The database should be installed on a system that allows for backup of the collected charts. There is no opportunity through SCCM for retrieval of data if it is lost.

**Note: the glucose control indicators have changed, however the database has not been upgraded to re-calculate for glucose less than 180 as the new recommended range by the Surviving Sepsis Campaign. Presently, there is no plan to upgrade the database. Please refer to the appropriate measures pages regarding glucose to configure a manual measure for glucose control.

Chart Review Database Attributes

Microsoft Access 2003 database with Microsoft Acess runtime multiuser - no connection to SQL server.

REQUIRES:

Windows 2000 or XP

Microsoft Office 2000, 2002, 2003 installed with Microsoft Word and Microsoft Excel Arial Fonts
Microsoft Access Run Time (provided with download be sure it isn't blocked by firewall)
Internet access for data reporting functions

The database is free and such very limited support is available. Please read all documentation before installing. More extensive data support is available however charges may apply.
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To download the Surviving Sepsis Campaign Database directly from this site first read the chart review database FAQ sheet and also note you must register (step 2) to receive the installation password:

STEP 1: Install Database Application

Click the link above to download the Surviving Sepsis application. Use WinZip to unzip the file, then run the installation by double clicking the SSCDB icon from within the unzipped folder.
Use WinZip to unzip the file, then run the installation by double clicking the SSCDB icon from within the unzipped folder.

STEP 2: Register

You will receive a numeric passcode via email. Store this numeric code in a safe location as it is not retrievable from SCCM. The code identifies your hospital and you as a contact. Note: Once installed, the User ID for the database is "sepsis" (without quotation marks) and the password is "bundles" (without quotation marks). If this is changed, please retain the information in a safe place as SCCM cannot retrieve it for the installer.

STEP 3: Upload 4.0 Upgrade (see upgrade description below)

Click the link above to download the latest version of the database.
Use Winzip to unzip the file, then run the installation by double clicking the SurvivingSepsis.MDB icon.
Use the Search feature in Windows (Start --> Search) to locate the folder named SepsisDB. The most likely path for this folder is "C:\SepsisDB" but if you have installed on a network drive may be another drive such as "S:\SepsisDB."
Drag the unzipped file SurvivingSepsis into the folder SepsisDB wherever it is located.
The computer will ask you if you want to overwrite the existing file. Agree to overwrite the file.
Next, go to your desktop icon and open the sepsis database. The database will notify you, "The links are broken, do you want to re-establish the links?" Agree to re-establish the links.
The database should open normally and all of your data will be preserved.

IMPORTANT Note Regarding V4.0

It has been recently found that there is an error in the database that applies to sites that are collecting data using the units mg/dl. Most sites collect lactate using mmol/L as the unit of measure. This is true for instance in nearly all sites in the United States. The error results in your data showing a poorer performance than you should expect with respect to the CVP and ScVO2 measures in particular. Since 4 mmol/L is equivalent to 36 mg/dl, the error results in sites using mg/dl as the unit of measures in particular. Since 4 mmol/L is equivalent to 36 mg/dl, the error results in sites using mg/dl as the unit of measure more frequently being scored as failing to check CVP and ScVO2 when indicated. In truth, the impact is likely to be minimal on your performance however; it is important for your own results at home to complete the upgrade. Once you have upgraded your database to version 4, re-transmit your data to the SSC. We need you to do this to ensure that we have accurate data. We are able to manipulate your data, if in error on our end however re-transmitting the data avoids this step.

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Additional Resources

Installation instructions (section from SSC manual)
User instructions (section from SSC manual)
Installation Frequently Asked Questions (latest Adobe Reader version may be required)
Adding Additional Users (latest Adobe Reader version may be required)
Database Export Data Table Field Descriptions & Coding Information
Export and Import to Excel Instructions

If you would prefer to obtain a CD, contact the Society of Critical Care Medicine via info@survivingsepsis.org. Only version 3.0 is available. Upgrade to 4.0 from this website will still be required. Shipping charges will apply.

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Transmitting Data

You may transmit data to central database via email. Please note that the data reporting function is in transition and there will be limited support during this period including a pause in benchmarking reports.

This is the most reliable means to transmit:

On the main screen of the database, select "Export and Transmit Data" button.

Note the path in the field in the middle of the subsequent blue screen. By default this is probably "C:\SepsisDB\Export\"

Be sure the box "Anonymize Data" has a check mark in it. If not, select the box to place a check mark in it.

Select the "Export Data" button. Your data will then dump into the folder identified in the path above(probably "C:\SepsisDB\Export\") in 3 files.

Go to the path where you data is stored. You will find 3 text files (chart.txt, abx.txt, chartdefaults.txt).

Attach all 3 files to an email and send the email to ssc@survivingsepsis.org.

You will receive a confirmatory email from the "Out of Office" feature in Outlook that confirms your email was received.

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Help Requests

Your IT department internally will likely be able to help with troubleshooting. Sometimes firewalls block installation. Note that in order to print reports Microsoft Excel Arial Fonts must be available on the printer.

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This AGREEMENT (INCLUDING THE TERMS AND CONDITIONS CONTAINED ON THE SURVIVING SEPSIS CAMPAIGN ("SSC" ) WEBSITE, AVAILABLE AT www.survivingsepsis.org, INCORPORATED HEREIN BY THIS REFERENCE) is a binding legal contract between you and SCCM. By downloading, installing, accessing or using ANY software or database PROVIDED BY SCCM you represent that you are acting on behalf of your ORGANIZATION and are authorized to, and do, accept these terms and conditions on its behalf. If you do not agree to the terms of this Agreement, SCCM is not willing to license any right to use or access the software or database to you. In such event, do not download, install, access, use or copy the software or database.

You hereby agree not to copy, modify, or distribute this software product or its functionality in any way without the express written permission of SCCM, Microsoft Corporation, Wise Solutions, Inc. and Sagekey Software, Inc. SCCM grants you a revocable, nontransferable, nonexclusive license to use the object code version of the software product for your internal use only. This is a limited license only to use the software product and Surviving Sepsis Campaign Chart Review Database. All other rights reserved. No part of the Surviving Sepsis Campaign Chart Review Database may be reproduced, extracted or otherwise used for any commercial purpose without the express written permission of SCCM. By downloading this software product, you hereby agree not to: (i) reproduce, extract or make any other use of the Surviving Sepsis Campaign Chart Review Database, or the underlying data, for any commercial purpose, or permit another person to do so; (ii) reverse engineer, decompile, disassemble, modify or create works derivative of the software product or database; (iii) alter or modify any disabling mechanism which may be resident in the software product; and (iv) assign, sublicense, rent, timeshare, loan, lease or otherwise transfer the software product or database, or directly or indirectly permit any third party to use or copy any part of the software product or database, without the express written permission of SCCM. This software product is provided free of charge. THE SOFTWARE PRODUCT AND DATABASE ARE PROVIDED ON AN "AS IS" BASIS. TO THE MAXIMUM EXTENT PERMITTED BY LAW, SCCM AND ITS LICENSORS DISCLAIM ALL WARRANTIES WITH RESPECT TO THE SOFTWARE PRODUCT AND DATABASE, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF NON-INFRINGEMENT, TITLE, MERCHANTABILITY, QUIET ENJOYMENT, QUALITY OF INFORMATION, AND FITNESS FOR A PARTICULAR PURPOSE. SCCM DOES NOT WARRANT THAT THE SOFTWARE PRODUCT OR DATABASE WILL MEET YOUR REQUIREMENTS, OR THAT THE OPERATION OF THE SOFTWARE PRODUCT WILL BE UNINTERRUPTED OR ERROR FREE, OR THAT DEFECTS IN THE SOFTWARE PRODUCT OR DATABASE WILL BE CORRECTED. NO ORAL OR WRITTEN INFORMATION OR ADVICE GIVEN BY SCCM SHALL CREATE ANY ADDITIONAL SCCM WARRANTIES OR IN ANY WAY INCREASE THE SCOPE OF SCCM'S OBLIGATIONS HEREUNDER. SCCM and its constituent entities are not liable for the loss of data, consequential or incidental damages from the use or misuse of this software product. You agree to hold SCCM and its constituent entities blameless for any and all losses resulting from the use or misuse of this software product.