Adult Sepsis Guidelines
Children's Sepsis Guidelines
Adult ICU Liberation Guidelines
PANDEM Guidelines for Children and Infants
New User? Sign Up Free
SCCM is performing maintenance on its websites. For the best browsing experience, please use Microsoft Edge or Safari. Those using Chrome or Firefox may experience access issues at this time.
This article describes the new Leapfrog quality metrics and their methodology, focusing on postoperative sepsis identification and the potential impact of dashboard performance tracking moving forward. Critical care professionals routinely encounter patients with sepsis and play an integral role in the formulation and implementation of management plans for postoperative sepsis, making them key participants in this effort.
Leapfrog Hospital Safety Grade is a national rating system of U.S. hospitals developed in the 1990s by a healthcare quality improvement coalition. Hospitals participating in an inpatient prospective payment system of the Centers for Medicare and Medicaid Services (CMS) are surveyed on more than 30 performance measures and graded on a scale of A to F to reflect the hospitals’ infrastructure and performance on patient safety measures,1 including healthcare-associated infections (HAIs). In 2009, the U.S. Department of Health and Human Services (HHS) released a national action plan focused on preventing HAIs in acute care hospitals, including central line-associated bloodstream infection (CLABSI), catheter-associated urinary tract infection (CAUTI), surgical site infection (SSI), methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections, and Clostridiodes difficile infection (CDI). In 2011 CMS mandated reporting HAI data through the National Healthcare Safety Network (NHSN).2 Despite these efforts, HAIs continue to affect 4% of all hospitalized patients with device-associated infections, together accounting for 25.6% of cases, and SSI alone accounting for 21.6% of cases.3 Leapfrog uses reduction in HAIs as a quality metric in its latest web-based fall 2021 dashboard.4
The updated Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021, published by the Society of Critical Care Medicine (SCCM) and the European Society Intensive Care Medicine (ESICM), included recommendations on source control in sepsis.5 Given the high prevalence of SSIs, the implementation of this recommendation, among others, is likely to influence Leapfrog Hospital Safety Grade by directly affecting the rates of postoperative sepsis, which are now part of a composite patient safety indicator (PSI).
In this article, we describe the new Leapfrog quality metrics and their methodology, focusing on postoperative sepsis identification and the potential impact of dashboard performance tracking moving forward. Critical care professionals routinely encounter patients with sepsis and play an integral role in the formulation and implementation of management plans for postoperative sepsis, making them key participants in this effort.
Posted: 3/10/2022 | 0 comments
Log in to Comment