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医疗保险和医疗补助服务中心 SEP-1 衡量标准中确定脓毒症时间零点和捆绑包依从率的变异性。

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

机构信息

1Department of Population Medicine,Harvard Medical School/Harvard Pilgrim Health Care Institute,Boston,Massachusetts.

2Department of Medicine,Brigham and Women's Hospital,Boston,Massachusetts.

出版信息

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

DOI:10.1017/ice.2018.134

PMID:29932042

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7977505/

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.

摘要

我们比较了 3 家医院的 3 名摘要员在败血症“零时”和医疗保险和医疗补助服务中心 (CMS) SEP-1 通过率方面的情况。在 80 例病例中有 29 例（36%）摘要员对零时达成一致。感知通过率从 80 例中的 9 例（11%）到 80 例中的 19 例（23%）不等。零时和感知通过率的差异限制了 SEP-1 用于衡量质量的效用。