The Improving Diagnosis and Treatment of Maternal Sepsis toolkit was developed by the Maternal Sepsis Task Force in 2020 as a resource for obstetricians, rapid response teams, and intensive care units who interact with women during pregnancy and in the postpartum period. The toolkit introduces a new two-step screening and confirmation process to more accurately diagnose and treat maternal sepsis. This screening and diagnostic approach has been updated as part of the NICHD supported Obstetric Sepsis Collaborative active in California and Michigan. As part of the review process for the collaborative, the Sepsis toolkit is undergoing revision to update the diagnosis pages, adding the Obstetric Sepsis Flow Chart for Screening and Diagnosis and multiple patient centered resources. These resources are now available to download directly (located in the right sidebar).
The toolkit is available to download after logging into CMQCC's website. If you do not already have a CMQCC Account, you will need to complete a brief survey to initialize an account.
Download (NOTE: the Toolkit will be updated in Q4 2024):
Improving Diagnosis and Treatment of Maternal Sepsis Toolkit (2020)
Frequently Asked Questions (2020)
Slide Set for Professional Education (2020)
Informational Webinar (2020)
Sepsis Collaborative Webinar Series (2023-2024):
- Chorioamnionitis: Prevention, Diagnosis, and Treatment 8/7/24
- Obstetric Sepsis Treatment and Patient Debriefs 5/15/24
- Maternal Sepsis: Improving our Listening Skills and Update on Screening and Diagnostic Criteria 2/6/24
- Improving Diagnosis and Treatment of Obstetric Sepsis Part 1 11/7/2023
- Improving Diagnosis and Treatment of Obstetric Sepsis Part 2 - Collaborative Kick Off 11/7/2023
Individual sections of the toolkit are also available to download by clicking on the links below:
Appendix B: CMS Sepsis-1 Accommodations for Special Populations
Appendix C: Justification for Adjustments to CMS Sepsis-1 Criteria for End Organ Injury
Appendix E: Collecting a Urine Specimen from a Foley Catheter
Appendix F: The Importance of Taking a Respiratory Rate
Appendix G: How to Take an Oral Temperature Measurement
Appendix H: Team Reassessment Communication
Appendix I: Sample, Maternal Sepsis Debriefing Form
Appendix J: UC Davis Health Maternal Sepsis Drill Scenario
Appendix K: Maternal Sepsis Sample Education Outline
Appendix L: Lactation Safety of Antimicrobials Used for Treatment of Sepsis
Appendix M: Sample, Sutter Health Sepsis Order Set