Variation in sepsis care: a wake-up call
- PMID: 12793867
- PMCID: PMC270686
- DOI: 10.1186/cc2191
Variation in sepsis care: a wake-up call
Abstract
There is important variation in the care of critically ill patients. While some of this variability is appropriate, and represents individually titrated care, residual variation indicates over- and under-use of precious resources and is clearly concerning. Recent advances in critical care medicine provide "road maps" to standardize care and use evidence-based medicine to improve patient outcomes. Knowledge about which therapies to use, and under what circumstances to use them, could form a basis for measuring the consistency and quality of our care processes. These simple process measures can be easily incorporated into daily rounds and serve to inform on the quality of our care.
Comment on
-
Severe sepsis: variation in resource and therapeutic modality use among academic centers.Crit Care. 2003 Jun;7(3):R24-34. doi: 10.1186/cc2171. Epub 2003 Mar 17. Crit Care. 2003. PMID: 12793887 Free PMC article.
Similar articles
-
The perfect storm of overutilization.JAMA. 2008 Jun 18;299(23):2789-91. doi: 10.1001/jama.299.23.2789. JAMA. 2008. PMID: 18560006 No abstract available.
-
Variation in critical care unit admission rates and outcomes for patients with acute coronary syndromes or heart failure among high- and low-volume cardiac hospitals.J Am Heart Assoc. 2015 Feb 27;4(3):e001708. doi: 10.1161/JAHA.114.001708. J Am Heart Assoc. 2015. PMID: 25725089 Free PMC article.
-
Editorial : Current practice and trends in echocardiography in critical care, anesthesiology and emergency medicine.Curr Cardiol Rev. 2011 Aug;7(3):135. doi: 10.2174/157340311798220476. Curr Cardiol Rev. 2011. PMID: 22758611 Free PMC article. No abstract available.
-
Evolution of musculoskeletal ultrasound in the United States: implementation and practice in rheumatology.Arthritis Care Res (Hoboken). 2014 Jan;66(1):7-13. doi: 10.1002/acr.22183. Arthritis Care Res (Hoboken). 2014. PMID: 24115730 Review. No abstract available.
-
How can clinicians incorporate research advances into practice?J Gen Intern Med. 1997 Apr;12 Suppl 2(Suppl 2):S20-4. doi: 10.1046/j.1525-1497.12.s2.3.x. J Gen Intern Med. 1997. PMID: 9127240 Free PMC article. Review. No abstract available.
Cited by
-
eICU program favorably affects clinical and economic outcomes.Crit Care. 2005 Sep 8;9(5):E22. doi: 10.1186/cc3814. Crit Care. 2005. PMID: 16277706 Free PMC article. No abstract available.
-
The effect of drotrecogin alfa (activated) on long-term survival after severe sepsis.Crit Care Med. 2004 Nov;32(11):2199-206. doi: 10.1097/01.ccm.0000145228.62451.f6. Crit Care Med. 2004. PMID: 15640631 Free PMC article.
-
Epidemiology of the Systemic Inflammatory Response Syndrome (SIRS) in the emergency department.West J Emerg Med. 2014 May;15(3):329-36. doi: 10.5811/westjem.2013.9.18064. Epub 2014 Feb 19. West J Emerg Med. 2014. PMID: 24868313 Free PMC article.
References
-
- Yu DT, Black E, Sands KE, Schwartz JS, Hibberd PL, Graman PS, Lanken PN, Kahn KL, Snydman DR, Parsonnet J, Moore R, Platt R, Bates DW, for the Academic Medical Center Consortium Sepsis Project Working Group Severe sepsis: variation in resource and therapeutic modality use among academic centers. Crit Care. 2003;7:R24–R34. - PMC - PubMed
-
- Sands KE, Bates DW, Lanken PN, Graman PS, Hibberd PL, Kahn KL, Parsonnet J, Panzer R, Orav EJ, Snydman DR. Epidemiology of sepsis syndrome in 8 academic medical centers. Academic Medical Center Consortium Sepsis Project Working Group. JAMA. 1997;278:234–240. - PubMed
-
- Iregui M, Ward S, Sherman G, Fraser VJ, Kollef MH. Clinical importance of delays in the initiation of appropriate antibiotic treatment for ventilator-associated pneumonia. Chest. 2002;122:262–268. - PubMed
-
- Kollef MH, Sherman G, Ward S, Fraser VJ. Inadequate antimicrobial treatment of infections: a risk factor for hospital mortality among critically ill patients. Chest. 1999;115:462–474. - PubMed
-
- Tilford JM, Simpson PM, Yeh TS, Lensing S, Aitken ME, Green JW, Harr J, Fiser DH. Variation in therapy and outcome for pediatric head trauma patients. Crit Care Med. 2001;29:1056–1061. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous