Variation in Identifying Sepsis and Organ Dysfunction Using Administrative Versus Electronic Clinical Data and Impact on Hospital Outcome Comparisons.

ABSTRACT:

Objectives

Administrative claims data are commonly used for sepsis surveillance, research, and quality improvement. However, variations in diagnosis, documentation, and coding practices for sepsis and organ dysfunction may confound efforts to estimate sepsis rates, compare outcomes, and perform risk adjustment. We evaluated hospital variation in the sensitivity of claims data relative to clinical data from electronic health records and its impact on outcome comparisons.

Design, setting, and patients

Retrospective cohort study of 4.3 million adult encounters at 193 U.S. hospitals in 2013-2014.

Interventions

None.

Measurements and main results

Sepsis was defined using electronic health record-derived clinical indicators of presumed infection (blood culture draws

SUBMITTER: Rhee C 

PROVIDER: S-EPMC7970408 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature