Evidence map›Paper›PMID 40221933›Full record

ArticleJournal of hospital medicine2025

Diagnostic safety and quality optimization in sepsis study protocol.

Sachita Shrestha, Marc Kowalkowski, Sarah Birken, Jessica Palakshappa, Jessie King, Chadwick Miller, Jason Pogue, Stephanie Taylor

Abstract read
In one paragraph

Article in Journal of hospital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

8 authors.

Sachita ShresthaDepartment of Internal Medicine, Division of Hospital Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID http://orcid.org/0000-0001-7878-8756
Marc KowalkowskiWake Forest University School of Medicine, Winston-Salem, North Carolina, USA.ORCID http://orcid.org/0000-0003-2624-4209
Sarah BirkenWake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Jessica PalakshappaWake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Jessie KingDepartment of Internal Medicine, Division of Hospital Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Chadwick MillerWake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Jason PogueDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, Michigan, USA.
Stephanie TaylorDepartment of Internal Medicine, Division of Hospital Medicine, University of Michigan, Ann Arbor, Michigan, USA.

Funding

Agency for Healthcare Research and Quality (AHRQ) R01HS029656AHRQ HHS R01 HS029656AHRQ HHS R01HS029656
6 · The paper itself

Abstract

backgroundSepsis ranks among the "Big Three" conditions most prone to harmful diagnostic errors. Despite its high prevalence and severity, health systems lack effective and contextually tailored strategies to optimize diagnostic accuracy for sepsis.

objectivesThe purpose of this study is to understand factors related to high sepsis diagnostic accuracy using principles and tools of safety and implementation science.

methodsThis is a multi-site study involving 20 hospitals across four states in the United States. The primary objectives are to (1) describe hospital-level variability and understand barriers and facilitators to sepsis diagnostic accuracy and (2) apply cross-case and coincidence analysis to determine minimally sufficient and necessary conditions for optimal sepsis diagnosis that minimizes under- and overtreatment. To identify barriers and facilitators of acute sepsis diagnosis, we will conduct electronic surveys and in-depth interviews with key informants from each hospital. We will use data from electronic health records (EHR) and data warehouses to operationalize sepsis diagnostic accuracy.

resultsWe have enrolled 20 hospitals and begum data collection. The findings of this study will be used to develop a context-specific toolkit that guides the selection of feasible and important strategies to promote optimal sepsis diagnosis in diverse hospitals settings.

conclusionsThe study uses tools and principles from safety and implementation science to generate first-of-its-kind evidence to improve diagnostic excellence in sepsis.

Indexed as

Diagnostic ErrorsPatient SafetyQuality ImprovementSepsisElectronic Health RecordsHumansUnited States

Identifiers

PMID40221933
PMCPMC12217410

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.