C23 CRITICAL CARE: WHAT CAN BE MEASURED CAN BE IMPROVED - INVESTIGATING THE EPIDEMIOLOGY AND OUTCOMES OF PATIENTS WITH ACUTE CRITICAL ILLNESS: The Government Mandated Severe Sepsis And Septic Shock Early Management Bundle Performance Measure (sep-1) Is Not Evidence Based

C23 CRITICAL CARE: WHAT CAN BE MEASURED CAN BE IMPROVED - INVESTIGATING THE EPIDEMIOLOGY AND OUTCOMES OF PATIENTS WITH ACUTE CRITICAL ILLNESS: The Government Mandated Severe Sepsis And Septic Shock Early Management Bundle Performance Measure (sep-1) Is Not Evidence Based

[...]SEP-1 also requires measurement of central venous pressure (CVP) and oxygen saturation (ScvO2), which three recent multicenter RCTs showed did not benefit septic patients. Because of this lack of consistency, we systematically reviewed the scientific evidence provided in the CMS Specification M...

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Bibliographic Details
Published in:American journal of respiratory and critical care medicine Vol. 195
Main Authors: Pepper, D J, Natanson, C, Eichacker, P
Format: Journal Article
Language:English
Published: New York American Thoracic Society 01-01-2017
Subjects:
Antibiotics
Epidemiology
Mortality
Sepsis
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Summary:[...]SEP-1 also requires measurement of central venous pressure (CVP) and oxygen saturation (ScvO2), which three recent multicenter RCTs showed did not benefit septic patients. Because of this lack of consistency, we systematically reviewed the scientific evidence provided in the CMS Specification Manual to support SEP-1's other hemodynamic interventions. CMS, at odds with their stated standards for PMs, now mandates that healthcare providers document the use of unproven sepsis interventions and soon will base hospital reimbursement on completion of these interventions. [...]evidence is available, SEP-1 should be modified to only include interventions scientifically proven to improve sepsis outcomes.
ISSN:1073-449X
1535-4970