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Sepsis: A Summary of the SEP-1 Quality Measure and Future Considerations.
Clin Microbiol Infect
December 2024
Department of Internal Medicine, Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, NE. Electronic address:
Large Language Models for More Efficient Reporting of Hospital Quality Measures.
NEJM AI
October 2024
Division of Biomedical Informatics, University of California, San Diego, San Diego.
Hospital quality measures are a vital component of a learning health system, yet they can be costly to report, statistically underpowered, and inconsistent due to poor interrater reliability. Large language models (LLMs) have recently demonstrated impressive performance on health care-related tasks and offer a promising way to provide accurate abstraction of complete charts at scale. To evaluate this approach, we deployed an LLM-based system that ingests Fast Healthcare Interoperability Resources data and outputs a completed Severe Sepsis and Septic Shock Management Bundle (SEP-1) abstraction.
View Article and Find Full Text PDFClick and learn: a longitudinal interprofessional case-based sepsis education curriculum.
BMJ Open Qual
November 2024
Emergency Medicine, Stony Brook University Renaissance School of Medicine, Stony Brook, New York, USA.
Background: Sepsis is a global healthcare challenge and a leading cause of morbidity and mortality. In the USA, the Centers for Medicare & Medicaid Services has integrated the Severe Sepsis and Septic Shock Management Bundle (SEP-1) into their Core Quality Measures, which has been linked to lower mortality rates. However, SEP-1's multiple bundle elements present compliance challenges without comprehensive education and a collaborative approach involving nurses and providers (attending physicians, resident physicians, nurse practitioners and physician assistants).
View Article and Find Full Text PDFCharacteristics, clinical care, and outcomes of sepsis among patients boarding in the emergency department.
J Hosp Med
October 2024
Department of Internal Medicine, Division of Hospital Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Background: Patients who first meet clinical criteria for sepsis while boarding in the emergency department (ED) may not receive optimal sepsis care.
Objective: Assess the association between ED boarding status and sepsis quality of care and outcomes.
Methods: We conducted a retrospective cohort study of adult patients admitted to a large academic hospital from July 2021 to October 2023 who had clinical features consistent with sepsis present while physically in the ED.
Background: Sepsis is a life-threatening emergency, and early recognition and treatment in the emergency department (ED) is critical to improving outcomes.
Methods: The authors implemented an interdisciplinary quality improvement (QI) project to standardize sepsis screening workflow across an academic health system consisting of a large tertiary care urban hospital, one freestanding ED, and two small rural affiliate hospitals (RA-1 and RA-2). The research team used the Institute for Healthcare Improvement Model for Improvement framework, consisting of iterative Plan-Do-Study-Act (PDSA) cycles.
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