评价社区医院脓毒症护理包依从性对患者预后的预测作用：一项回顾性研究。
Evaluating Sepsis Bundle Compliance as a Predictor for Patient Outcomes at a Community Hospital: A Retrospective Study.
机构信息
Author Affiliations: Inova Mount Vernon Hospital, Alexandria, Virginia (Mr Lawrence); George Mason University, Fairfax, Virginia (Drs Lee and Fadahunsi); and Inova Health System, Fairfax, Virginia (Dr Mowery).
出版信息
J Nurs Care Qual. 2024;39(3):252-258. doi: 10.1097/NCQ.0000000000000767. Epub 2024 Mar 11.
BACKGROUND
Clinicians are encouraged to use the Centers for Medicare & Medicaid Services early management bundle for severe sepsis and septic shock (SEP-1); however, it is unclear whether this process measure improves patient outcomes.
PURPOSE
The purpose of this study was to evaluate whether compliance with the SEP-1 bundle is a predictor of hospital mortality, length of stay (LOS), and intensive care unit LOS at a suburban community hospital.
METHODS
A retrospective observational study was conducted.
RESULTS
A total of 577 patients were included in the analysis. Compliance with the SEP-1 bundle was not a significant predictor for patient outcomes.
CONCLUSIONS
SEP-1 compliance may not equate with quality of health care. Efforts to comply with SEP-1 may help organizations develop systems and structures that improve patient outcomes. Health care leaders should evaluate strategies beyond SEP-1 compliance to ensure continuous improvement of outcomes for patients experiencing sepsis.
背景
鼓励临床医生使用医疗保险和医疗补助服务中心（Centers for Medicare & Medicaid Services）的严重脓毒症和脓毒性休克早期管理包（SEP-1）；然而，目前尚不清楚该流程措施是否能改善患者的预后。
目的
本研究旨在评估在一家郊区社区医院，SEP-1 包的依从性是否是医院死亡率、住院时间（length of stay， LOS）和重症监护病房 LOS 的预测指标。
方法
进行了一项回顾性观察性研究。
结果
共有 577 名患者纳入分析。SEP-1 包的依从性不是患者预后的显著预测因素。
结论
SEP-1 的依从性可能并不等同于医疗保健质量。努力遵守 SEP-1 可能有助于组织建立系统和结构，从而改善患者的预后。医疗保健领导者应评估超越 SEP-1 依从性的策略，以确保接受脓毒症治疗的患者的预后不断得到改善。
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