Order Set Usage is Associated With Lower Hospital Mortality in Patients With Sepsis.
Publication Title
Crit Care Explor
Document Type
Article
Publication Date
5-1-2023
Keywords
washington; swedish; prn; portland; oregon; cards; cards publication; renton
Abstract
UNLABELLED: The Surviving Sepsis Campaign recommends standard operating procedures for patients with sepsis. Real-world evidence about sepsis order set implementation is limited.
OBJECTIVES: To estimate the effect of sepsis order set usage on hospital mortality.
DESIGN: Retrospective cohort study.
SETTING AND PARTICIPANTS: Fifty-four acute care hospitals in the United States from December 1, 2020 to November 30, 2022 involving 104,662 patients hospitalized for sepsis.
MAIN OUTCOMES AND MEASURES: Hospital mortality.
RESULTS: The sepsis order set was used in 58,091 (55.5%) patients with sepsis. Initial mean sequential organ failure assessment score was 0.3 lower in patients for whom the order set was used than in those for whom it was not used (2.9 sd [2.8] vs 3.2 [3.1],
CONCLUSIONS AND RELEVANCE: In a cohort of patients hospitalized with sepsis, order set use was independently associated with lower hospital mortality. Order sets can impact large-scale quality improvement efforts.
Specialty/Research Institute
Critical Care Medicine
Specialty/Research Institute
Infectious Diseases
Specialty/Research Institute
Hospital Medicine
DOI
10.1097/CCE.0000000000000918
