2018
Urban and Rural Emergency Department Performance on National Quality Metrics for Sepsis Care in the United States
Greenwood‐Ericksen M, Rothenberg C, Mohr N, Andrea SD, Slesinger T, Osborn T, Whittle J, Goyal P, Tarrant N, Schuur JD, Yealy DM, Venkatesh A. Urban and Rural Emergency Department Performance on National Quality Metrics for Sepsis Care in the United States. The Journal Of Rural Health 2018, 35: 490-497. PMID: 30488590, DOI: 10.1111/jrh.12339.Peer-Reviewed Original ResearchConceptsSepsis careUrban EDRural EDsHospital-based EDsNational quality measuresManual chart reviewNational quality metricsEmergency department performanceBundle adherenceChart reviewFluid administrationPatient chartsBlood culturesPatient levelEmergency physiciansAmerican CollegeHospital levelRural hospitalsCare qualityCMS measuresMedicaid ServicesCareCMS definitionsManual reviewED
2017
Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E-QUAL)
Venkatesh AK, Slesinger T, Whittle J, Osborn T, Aaronson E, Rothenberg C, Tarrant N, Goyal P, Yealy DM, Schuur JD. Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E-QUAL). Annals Of Emergency Medicine 2017, 71: 10-15.e1. PMID: 28789803, DOI: 10.1016/j.annemergmed.2017.06.032.Peer-Reviewed Original ResearchConceptsBundle complianceBundle elementsSEP-1 performanceSeptic shock casesIntravenous fluid resuscitationHospital-level variationChart review dataHospital-based EDsNational quality measuresQuality improvement dataBest practice implementationHospital-level performanceMedicaid Services definitionsSevere sepsisSecondary outcomesFluid resuscitationPrimary outcomeAcademic centersED implementationBundle componentsPractice implementationPreliminary dataImprovement dataFiscal year 2016Modest improvement