Effects of external inspections on sepsis detection and treatment: a stepped-wedge study with cluster-level randomisation.

ABSTRACT:

Objective

To evaluate the effects of external inspections on (1) hospital emergency departments' clinical processes for detecting and treating sepsis and (2) length of hospital stay and 30-day mortality.

Design

Incomplete cluster-randomised stepped-wedge design using data from patient records and patient registries. We compared care processes and patient outcomes before and after the intervention using regression analysis.

Setting

Nationwide inspections of sepsis care in emergency departments in Norwegian hospitals.

Participants

7407 patients presenting to hospital emergency departments with sepsis.

Intervention

External inspections of sepsis detection and treatment led by a public supervisory institution.

Main outcome measures

Process measures fo

SUBMITTER: Husabo G 

PROVIDER: S-EPMC7577024 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature