Evidence map›Paper›PMID 37954901›Full record

ArticleCritical care explorations2023

Institutional Structures and Processes to Support Sepsis Care: A Multihospital Study.

Meghan K Lóser, Jennifer K Horowitz, Peter England, Rania Esteitie, Scott Kaatz, Elizabeth McLaughlin, Elizabeth Munroe, Megan Heath, Pat Posa, Scott A Flanders and 1 more

Abstract read
In one paragraph

Article in Critical care explorations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Meghan K LóserDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI.
Jennifer K HorowitzDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI.
Peter EnglandDepartment of Emergency Medicine, University of Michigan, Ann Arbor, MI.
Rania EsteitieDivision of Pulmonary & Critical Care Medicine, Covenant Healthcare, Saginaw, MI.
Scott KaatzDivision of Hospital Medicine, Henry Ford Hospital, Detroit, MI.
Elizabeth McLaughlinDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI.
Elizabeth MunroeDivision of Pulmonary & Critical Care Medicine, University of Michigan, Ann Arbor, MI.
Megan HeathDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI.
Pat PosaQuality and Patient Safety Program, University of Michigan, Ann Arbor, MI.
Scott A FlandersDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI.
Hallie C PrescottDivision of Pulmonary & Critical Care Medicine, University of Michigan, Ann Arbor, MI.

Funding

Optimizing Vasopressor Delivery in Early SepsisF32HL172463 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MUNROE, ELIZABETH · 2024 to 2025
$108k
HSRD VA I01 HX003304NHLBI NIH HHS F32 HL172463NHLBI NIH HHS L30 HL170379
6 · The paper itself

Abstract

objectivesTo identify opportunities for improving hospital-based sepsis care and to inform an ongoing statewide quality improvement initiative in Michigan.

designSurveys on hospital sepsis processes, including a self-assessment of practices using a 3-point Likert scale, were administered to 51 hospitals participating in the Michigan Hospital Medicine Safety Consortium, a Collaborative Quality Initiative sponsored by Blue Cross Blue Shield of Michigan, at two time points (2020, 2022). Forty-eight hospitals also submitted sepsis protocols for structured review.

settingMulticenter quality improvement consortium. SUBJECTS: Fifty-one hospitals in Michigan.

interventionsNone. MEASUREMENTS AND MAIN

resultsOf the included hospitals, 92.2% (

conclusionsMost hospitals used audit/feedback, order sets, and clinician education to facilitate sepsis care. Hospitals did not consistently incorporate organ dysfunction criteria into sepsis definitions. Existing processes focused on early recognition and treatment rather than recovery-based practices.

Indexed as

antibioticsfluid therapyquality improvementsepsisvasopressor agents

Identifiers

PMID37954901
PMCPMC10637402

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.