Developing a “Sepsis Never Event” Measure for Our Hospital-wide Improvement Initiative Article Swipe
Elise Rolison
,
Carter Smith
,
Beth Wathen
,
Halden F. Scott
,
Sarah Nickels
,
Justin M. Lockwood
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1097/pq9.0000000000000636
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1097/pq9.0000000000000636
Background: Historical measure definitions for our sepsis initiative captured intent-to-treat without connection to final diagnosis or patient outcomes. Objectives: To develop a novel sepsis outcome measure capturing confirmed sepsis-related patient harm including a reliable process to identify cases fulfilling its criteria. Methods: Our sepsis leadership team reviewed existing sepsis measures. Through iterative review and consensus, we defined a measure prioritizing final diagnosis rather than intent-to-treat. We created an automated identification and manual chart review process to identify cases meeting criteria (Figs. 1, 2). Cases meeting criteria trigger in-depth case reviews in partnership with system-wide patient safety teams and unit leaders.Fig. 1.: Case review by our leadership team aimed to obtain consensus on the following questions to identify cases meeting criteria for our Sepsis Never Event measure.Fig. 2.: Steps for identification of Sepsis Never Events with automated identification, manual review, and leadership group consensus.Results: Sepsis Never Events are confirmed sepsis cases with infection-related organ dysfunction, antibiotic order-to-delivery >180 minutes, and subject matter consensus that antibiotic delay led to patient harm. Conclusions: Our novel measure targets zero harm for patients with sepsis and identifies deviant cases to facilitate in-depth review and continuous improvement.
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Developing a “Sepsis Never Event” Measure for Our Hospital-wide Improvement InitiativeWork title
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articleOpenAlex work type
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enPrimary language
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2023Year of publication
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2023-02-23Full publication date if available
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Elise Rolison, Carter Smith, Beth Wathen, Halden F. Scott, Sarah Nickels, Justin M. LockwoodList of authors in order
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https://doi.org/10.1097/pq9.0000000000000636Publisher landing page
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diamondOpen access status per OpenAlex
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https://doi.org/10.1097/pq9.0000000000000636Direct OA link when available
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Sepsis, Medicine, Harm, Intensive care medicine, Identification (biology), Measure (data warehouse), Psychology, Surgery, Computer science, Data mining, Social psychology, Botany, BiologyTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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