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Infect Control Hosp Epidemiol. 2018 Aug;39(8):994-996. doi: 10.1017/ice.2018.134. Epub 2018 Jun 22.

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

Author information

1
1Department of Population Medicine,Harvard Medical School/Harvard Pilgrim Health Care Institute,Boston,Massachusetts.
2
2Department of Medicine,Brigham and Women's Hospital,Boston,Massachusetts.
3
3Duke Center for Antimicrobial Stewardship and Infection Prevention,Duke University School of Medicine,Durham,North Carolina.
4
4Department of Medicine,Duke University Medical Center,Durham,North Carolina.
5
5Department of Medicine,Washington University School of Medicine,St Louis,Missouri.
6
6Department of Quality and Safety,Brigham and Women's Hospital,Boston,Massachusetts.
7
7Lawrence Center for Quality and Safety,Massachusetts General Hospital,Boston,Massachusetts.

Abstract

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.

PMID:
29932042
DOI:
10.1017/ice.2018.134
[Indexed for MEDLINE]

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