Variability in determining sepsis time zero and bundle compliance rates for the centers for medicare and medicaid services SEP-1 measure

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 tim...

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Veröffentlicht in:	Infection control and hospital epidemiology 2018-08, Vol.39 (8), p.994-996
Hauptverfasser:	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
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Blood pressure Centers for Medicare and Medicaid Services, U.S Cross Infection - diagnosis Cross Infection - microbiology Documentation Emergency medical care Female Guideline Adherence - statistics & numerical data Hospitals Humans Infections Length of Stay Male Medicaid Medical Audit Medicare Multivariate Analysis Nursing Patient Care Bundles Practice Guidelines as Topic Quality Assurance, Health Care Reproducibility of Results Sepsis Sepsis - diagnosis Sepsis - epidemiology Software Tertiary Care Centers Time Factors United States Ventilation Ventilators
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Zusammenfassung:	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.
ISSN:	0899-823X 1559-6834
DOI:	10.1017/ice.2018.134