We have observed in our system that the size of hospital, number of ED visits
or volume of sepsis cases can influence compliance. Different variables impact
each one and at times in a positive aspect and others negative.
Having a dedicated sepsis coordinator similar to a stroke or trauma coordinator
Having a dyad partnership of nurse and physician leading the sepsis process
improvement
________________________________
From: sepsisgroups-requ...@lists.sepsisgroups.org
<sepsisgroups-requ...@lists.sepsisgroups.org>
Date: May 16, 2018 at 4:05:43 PM EDT
To: sepsisgroups@lists.sepsisgroups.org <sepsisgroups@lists.sepsisgroups.org>
Subject: [External] Sepsisgroups Digest, Vol 289, Issue 2
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Today's Topics:
1. What variables influence compliance? (Townsend, Sean, M.D.)
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Message: 1
Date: Wed, 16 May 2018 03:06:59 +0000
From: "Townsend, Sean, M.D." <towns...@sutterhealth.org>
To: "sepsisgroups@lists.sepsisgroups.org"
<sepsisgroups@lists.sepsisgroups.org>
Subject: [Sepsis Groups] What variables influence compliance?
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Dear All,
I?m working on developing a model to predict compliance with SEP-1.
I have a list below of variables that may be of interest, but I?m wondering if
you might send me additional variables you think could be related.
Just to clarify, SEP-1 excludes transfers, CMO status.
1. Age at admission
2. Sex
3. Ethnicity (Hispanic)
4. Race
5. Initial hypotension (triggers fluid requirement, thus an opportunity to
fail to comply)
6. Persistent hypotension (triggers vasopressors, thus an opportunity to
fail to comply)
7. Septic shock
8. Lactate > 2 (triggers a repeat lactate, thus another opportunity to fail
to comply)
9. Lactate > 4 (triggers shock as well as fluid administration =
opportunities to fail to comply)
10. Already on antibiotics prior to time of presentation (makes it easier to
comply)
11. Already had blood cultures collected prior to time of presentation (makes
it easier to comply)
12. CHF (less likely to comply given known physician behavior)
13. Cardiomyopathy (less likely to comply given known physician behavior)
14. ESRD (less likely to comply given known physician behavior)
15. Morbid Obesity (less likely to comply given known physician behavior)
16. Cirrhosis (less likely to comply given know physician behavior)
17. Admitted during the day (more likely to comply given staff present)
18. Admit type (Emergent, urgent, elective)
19. Presence of an advanced directive
20. Qualification to receive Medicare benefits (disabled, ESRD, old age)
21. Type of insurance (Medicare part D implies more access to drugs, Medicare
Part B implies better outpatient care, Medicare part C = better managed care)
22. Surgery during the hospitalization
23. Admit from SNF versus home
24. DRG assigned
25. Primary diagnosis
26. Secondary diagnosis
27. Zip code
28. State
Sean
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