Improving Escalation of Patients Meeting SIRS Criteria or Signs of Sepsis

Résumé fourni par la source

Aim: FTR rates (death rate amongst patients sustaining a complication) are purported to better reflect institutional differences in healthcare quality compared to traditional metrics.FTR's validity depends on accurate identification of complications and differentiation from pre-existent comorbidity.We systematically catalogued the use of FTR in outcomes research.Method: A search of the published and grey literature from inception to 2014 was performed to identify studies deriving the FTR metric to make inferences about the quality of healthcare.Data was extracted on study demographics, descriptive characteristics of the FTR version in use and methodological approaches used to ensure validity.Result: 120 studies met the inclusion criteria.37 different versions of FTR were found with between 4 and 41 complications used to define the metric.28% of studies failed to clearly describe the complications used to define FTR.Only 16% utilised methodology to differentiate pre-existent comorbidity from complications of care.Only 12.5% carried out case-note review to validate their findings.Conclusion: FTR is variably defined in outcomes research with insufficient consideration for methodological aspects which could affect the calculation.Given the use of FTR rates to draw conclusions about institutions care it is vital that transparent criteria are used when reporting FTR.0164: GROUP AND...

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