387 Increasing Compliance With Repeat Lactate Measurement Utilizing Automated Repeat Lactate Ordering

The Centers for Medicare and Medicaid (CMS) sepsis management bundle (SEP-1) core measure requires that serum lactate levels be obtained and repeated within 6 hours if > 2.0 mmol/L and evidence supports prognostic value of improvement in serum lactate values. We developed an order in our electronic health record (EHR) that includes a repeat lactate order if the initial lactate level is elevated. We hypothesize that implementation of a lactate order that includes triggers for repeat testing will increase compliance with repeat lactate measurement in patients with severe sepsis and septic shock.

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