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Greater Compliance With Early Sepsis Management is Associated With Safer Care and Shorter Hospital Stay.

Publication ,  Journal Article
Rodriguez-Homs, LG; Masoud, SJ; Mosca, MJ; Jawitz, OK; O'Brien, C; Mosca, PJ
Published in: J Healthc Qual
November 2021

This retrospective, cross-sectional study of U.S. hospitals in Medicare's Inpatient Quality Reporting Program aimed to determine whether variation in Sepsis/Septic Shock (Bundle SEP-1) compliance is linked to hospital size and measures of safety and operational efficiency. Two thousand six hundred and fifty-three acute care hospitals in Medicare's Hospital Compare online database were included in the study. Relationships between SEP-1 bundle compliance, hospital size, and indices of operational excellence (including Patient Safety Index [PSI-90], average length of stay [ALOS] and readmission rate) were analyzed. SEP-1 compliance score was inversely associated with staffed bed number (r = -.14, p < .001), PSI-90 (r = -.01, p < .001), and ALOS (r = -.13, p < .001) in a multivariate analysis. Hospitals in the lowest versus highest quartile by bed number had SEP-1 compliance score of 49.8 ± 20.2% versus 46.9 ± 16.8%, p < .001. Hospitals in the lowest versus highest quartile for SEP-1 score had an ALOS of 5.0 ± 1.2 days versus 4.7 ± 1.1 days and PSI-90 rate of 1.03 ± 0.22 versus 0.98 ± 0.16, p < .001 for both. Although this does not establish a causal relationship, it supports the hypothesis that the ability of hospitals to successfully implement SEP-1 is associated with superior performance in key measures of operational excellence.

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Published In

J Healthc Qual

DOI

EISSN

1945-1474

Publication Date

November 2021

Volume

43

Issue

6

Start / End Page

347 / 354

Location

United States

Related Subject Headings

  • United States
  • Sepsis
  • Retrospective Studies
  • Medicare
  • Length of Stay
  • Humans
  • Hospitals
  • Cross-Sectional Studies
  • Aged
  • 4203 Health services and systems
 

Citation

APA
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ICMJE
MLA
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Rodriguez-Homs, L. G., Masoud, S. J., Mosca, M. J., Jawitz, O. K., O’Brien, C., & Mosca, P. J. (2021). Greater Compliance With Early Sepsis Management is Associated With Safer Care and Shorter Hospital Stay. J Healthc Qual, 43(6), 347–354. https://doi.org/10.1097/JHQ.0000000000000295
Rodriguez-Homs, Larissa G., Sabran J. Masoud, Matthew J. Mosca, Oliver K. Jawitz, Cara O’Brien, and Paul J. Mosca. “Greater Compliance With Early Sepsis Management is Associated With Safer Care and Shorter Hospital Stay.J Healthc Qual 43, no. 6 (November 2021): 347–54. https://doi.org/10.1097/JHQ.0000000000000295.
Rodriguez-Homs LG, Masoud SJ, Mosca MJ, Jawitz OK, O’Brien C, Mosca PJ. Greater Compliance With Early Sepsis Management is Associated With Safer Care and Shorter Hospital Stay. J Healthc Qual. 2021 Nov;43(6):347–54.
Rodriguez-Homs, Larissa G., et al. “Greater Compliance With Early Sepsis Management is Associated With Safer Care and Shorter Hospital Stay.J Healthc Qual, vol. 43, no. 6, Nov. 2021, pp. 347–54. Pubmed, doi:10.1097/JHQ.0000000000000295.
Rodriguez-Homs LG, Masoud SJ, Mosca MJ, Jawitz OK, O’Brien C, Mosca PJ. Greater Compliance With Early Sepsis Management is Associated With Safer Care and Shorter Hospital Stay. J Healthc Qual. 2021 Nov;43(6):347–354.
Journal cover image

Published In

J Healthc Qual

DOI

EISSN

1945-1474

Publication Date

November 2021

Volume

43

Issue

6

Start / End Page

347 / 354

Location

United States

Related Subject Headings

  • United States
  • Sepsis
  • Retrospective Studies
  • Medicare
  • Length of Stay
  • Humans
  • Hospitals
  • Cross-Sectional Studies
  • Aged
  • 4203 Health services and systems