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Evaluating Sepsis Bundle Compliance as a Predictor for Patient Outcomes at a Community Hospital: A Retrospective
John R Lawrence1, Ben Seiyon Lee, Adetokunbo I Fadahunsi
1Author 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).
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.
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