10 h 27 mar 2023 año - Severe Sepsis or Septic Shock is Met, when... 1) Physician documents patient with Severe Sepsis or Septic Shock OR 2) Patient meets the 3 clinical criteria for Severe Sepsis/Septic Shock within 6hrs of each other a- documented source of infection b- 2 or more SIRs (abnormal range in HR/RR/WBC/Temp) c-1 or more signs of Organ dysfunction (CV/hepatic/renal/respiratory i.e. elevated INR, low PLT, new need for assisted vent, elevated creatinine/bilirubin, low BP, elevated lactate, decreased urine output (Cinta de tiempo)