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

Chanu Rhee, Sarah R. Brown, Travis M. Jones, Cara O'Brien, Anupam Pande, Yasir Hamad, Amy L. Bulger, Kathleen A. Tobin, Anthony F. Massaro, Deverick J. Anderson, David K. Warren, Michael Klompas
2018 Infection control and hospital epidemiology  
AbstractWe 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.
doi:10.1017/ice.2018.134 pmid:29932042 fatcat:xwmntnacvbhazc6gtrkcvfyoja