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

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

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.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Centers for Medicare and Medicaid Services, U.S.
  • Cross Infection / diagnosis*
  • Cross Infection / microbiology
  • Female
  • Guideline Adherence / statistics & numerical data*
  • Hospitals
  • Humans
  • Length of Stay
  • Male
  • Medical Audit
  • Multivariate Analysis
  • Patient Care Bundles
  • Practice Guidelines as Topic
  • Quality Assurance, Health Care
  • Reproducibility of Results
  • Sepsis / diagnosis*
  • Sepsis / epidemiology
  • Tertiary Care Centers
  • Time Factors
  • United States