德国败血症质量网络数据集

数据集获取（Figshare）

• 源站标题：Data_Sheet_3_The German Quality Network Sepsis: Evaluation of a Quality Collaborative on Decreasing Sepsis-Related Mortality in a Controlled Interrupted Time Series Analysis.pdf
• DOI：10.3389/fmed.2022.882340.s003
• 发布日期：2022-04-27
• 文件数：1 个
• 文件总体积：15.92 KB
• 源站页面：https://frontiersin.figshare.com/articles/dataset/Data_Sheet_3_The_German_Quality_Network_Sepsis_Evaluation_of_a_Quality_Collaborative_on_Decreasing_Sepsis-Related_Mortality_in_a_Controlled_Interrupted_Time_Series_Analysis_pdf/19663263

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curl -L -o "Data_Sheet_3_The German Quality Network Sepsis: Evaluation of a Quality Collaborative on Decreasing Sepsis-Related Mortality in a Controlled Interrupt.pdf" "https://ndownloader.figshare.com/files/34920738"

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• Data_Sheet_3_The German Quality Network Sepsis: Evaluation of a Quality Collaborative on Decreasing Sepsis-Related Mortality in a Controlled Interrupt.pdf（15.92 KB）

文件总体积 15.92 KB（源站 API 实测）。

数据说明

BackgroundSepsis is one of the leading causes of preventable deaths in hospitals. This study presents the evaluation of a quality collaborative, which aimed to decrease sepsis-related hospital mortality.
MethodsThe German Quality Network Sepsis (GQNS) offers quality reporting based on claims data, peer reviews, and support for establishing continuous quality management and staff education. This study evaluates the effects of participating in the GQNS during the intervention period (April 2016–June 2018) in comparison to a retrospective baseline (January 2014–March 2016). The primary outcome was all-cause risk-adjusted hospital mortality among cases with sepsis. Sepsis was identified by International Classification of Diseases (ICD) codes in claims data. A controlled time series analysis was conducted to analyze changes from the baseline to the intervention period comparing GQNS hospitals with the population of all German hospitals assessed via the national diagnosis-related groups (DRGs)-statistics. Tests were conducted using piecewise hierarchical models. Implementation processes and barriers were assessed by surveys of local leaders of quality improvement teams.
ResultsSeventy-four hospitals participated, of which 17 were university hospitals and 18 were tertiary care facilities. Observed mortality was 43.5% during baseline period and 42.7% during intervention period. Interrupted time-series analyses did not show effects on course or level of risk-adjusted mortality of cases with sepsis compared to the national DRG-statistics after the beginning of the intervention period (p = 0.632 and p = 0.512, respectively). There was no significant mortality decrease in the subgroups of patients with septic shock or ventilation >24 h or predefined subgroups of hospitals. A standardized survey among 49 local quality improvement leaders in autumn of 2018 revealed that most hospitals did not succeed in implementing a continuous quality management program or relevant measures to improve early recognition and treatment of sepsis. Barriers perceived most commonly were lack of time (77.6%), staff shortage (59.2%), and lack of participation of relevant departments (38.8%).
Conclu

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.3389/fmed.2022.882340.s003（source: https://frontiersin.figshare.com/articles/dataset/Data_Sheet_3_The_German_Quality_Network_Sepsis_Evaluation_of_a_Quality_Collaborative_on_Decreasing_Sepsis-Related_Mortality_in_a_Controlled_Interrupted_Time_Series_Analysis_pdf/19663263）。