Evidence map›Paper›PMID 40275226›Full record

ReviewBMC health services research2025

Barriers and facilitators to optimal sepsis care - a systematized review of healthcare professionals' perspectives.

Lea Draeger, Carolin Fleischmann-Struzek, Sabine Gehrke-Beck, Christoph Heintze, Daniel O Thomas-Rueddel, Konrad Schmidt

Abstract readReview
In one paragraph

Review in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

6 authors.

Lea DraegerJena University Hospital, Institute of General Practice and Family Medicine, Friedrich Schiller University Jena, Jena, Germany. lea.draeger@med.uni-jena.de.ORCID http://orcid.org/0009-0004-5411-7121
Carolin Fleischmann-StruzekJena University Hospital, Institute of Infectious Diseases and Infection Control, Friedrich Schiller University Jena, Jena, Germany.
Sabine Gehrke-BeckInstitute of General Practice and Family Medicine, Charité University Medicine, Berlin, Germany.
Christoph HeintzeInstitute of General Practice and Family Medicine, Charité University Medicine, Berlin, Germany.
Daniel O Thomas-RueddelJena University Hospital, Center for Sepsis Control and Care, Friedrich Schiller University Jena, Jena, Germany.
Konrad SchmidtJena University Hospital, Institute of General Practice and Family Medicine, Friedrich Schiller University Jena, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite therapeutic advances, sepsis remains a global burden. Shortcomings within the healthcare system that inflate morbidity and mortality rates are instructive in this regard. This review aims to provide a qualitative synthesis of literature related to healthcare providers' perspectives on sepsis care, emphasizing perceived factors that impact the adequate care of septic patients and sepsis survivors.

methodsIn February 2023, we conducted a systematized search approach using the PubMed database.

resultsOf 114 articles found in the PubMed database, 37 were included. A further 13 articles were identified by manual search. Healthcare providers highlighted a variety of dysfunctional and functional processes with an impact on sepsis care. Six domains were identified, related to the underlying disease, the patient, the provider, the guidelines, the healthcare system, and the collaboration among providers. Of note, providers' level of knowledge and a lack of communication between disciplines and/or sectors were reported as shortcomings in each phase of the care pathway (prevention, recognition, treatment, transitions of care, and aftercare).

conclusionsThis review suggests that, without limitation, interventions that provide continuous provider education as well as standard communication channels between interdisciplinary and intersectoral providers have great potential to improve structural deficiencies in sepsis care.

Indexed as

Attitude of Health PersonnelHealth PersonnelSepsisHumansBarriers to optimal careCare processesHealthcare providers’ perspectiveSepsisSeptic shock

Identifiers

PMID40275226
PMCPMC12020105

What OpenQuestion holds

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Registered trials

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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.