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Variability in determining sepsis time zero and bundle compliance rates for the centers for medicare and medicaid services SEP-1 measure.
Rhee, Chanu; Brown, Sarah R; Jones, Travis M; O'Brien, Cara; Pande, Anupam; Hamad, Yasir; Bulger, Amy L; Tobin, Kathleen A; Massaro, Anthony F; Anderson, Deverick J; Warren, David K; Klompas, Michael.
Afiliación
  • Rhee C; 1Department of Population Medicine,Harvard Medical School/Harvard Pilgrim Health Care Institute,Boston,Massachusetts.
  • Brown SR; 2Department of Medicine,Brigham and Women's Hospital,Boston,Massachusetts.
  • Jones TM; 3Duke Center for Antimicrobial Stewardship and Infection Prevention,Duke University School of Medicine,Durham,North Carolina.
  • O'Brien C; 4Department of Medicine,Duke University Medical Center,Durham,North Carolina.
  • Pande A; 5Department of Medicine,Washington University School of Medicine,St Louis,Missouri.
  • Hamad Y; 5Department of Medicine,Washington University School of Medicine,St Louis,Missouri.
  • Bulger AL; 6Department of Quality and Safety,Brigham and Women's Hospital,Boston,Massachusetts.
  • Tobin KA; 7Lawrence Center for Quality and Safety,Massachusetts General Hospital,Boston,Massachusetts.
  • Massaro AF; 2Department of Medicine,Brigham and Women's Hospital,Boston,Massachusetts.
  • Anderson DJ; 3Duke Center for Antimicrobial Stewardship and Infection Prevention,Duke University School of Medicine,Durham,North Carolina.
  • Warren DK; 5Department of Medicine,Washington University School of Medicine,St Louis,Missouri.
  • Klompas M; 1Department of Population Medicine,Harvard Medical School/Harvard Pilgrim Health Care Institute,Boston,Massachusetts.
Infect Control Hosp Epidemiol ; 39(8): 994-996, 2018 08.
Article en En | MEDLINE | ID: mdl-29932042
We compared sepsis "time zero" and Centers for Medicare and Medicaid Services (CMS) SEP-1 pass rates among 3 abstractors in 3 hospitals. Abstractors agreed on time zero in 29 of 80 (36%) cases. Perceived pass rates ranged from 9 of 80 cases (11%) to 19 of 80 cases (23%). Variability in time zero and perceived pass rates limits the utility of SEP-1 for measuring quality.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Hospitalaria / Sepsis / Adhesión a Directriz Tipo de estudio: Guideline Aspecto: Implementation_research Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Infect Control Hosp Epidemiol Asunto de la revista: DOENCAS TRANSMISSIVEIS / ENFERMAGEM / EPIDEMIOLOGIA / HOSPITAIS Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Hospitalaria / Sepsis / Adhesión a Directriz Tipo de estudio: Guideline Aspecto: Implementation_research Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Infect Control Hosp Epidemiol Asunto de la revista: DOENCAS TRANSMISSIVEIS / ENFERMAGEM / EPIDEMIOLOGIA / HOSPITAIS Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos