Quality Improvement in Infection COntrol and Sepsis Management in MOdel Regions / Deutsches Qualitaetsbuendnis Sepsis (German Quality Network Sepsis)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- in-hospital mortality
研究概览
简要总结
The German Quality Network Sepsis is an association trying to improve quality of care for patients with sepsis, severe sepsis and septic shock or being in risc thereof.
The icosmos trial investigates the impact on the use of routine data, a risk adjustment algorithm and feedback to all hospitals as well as a structured implementation for regular screening for deteriorating patients, and education on in-hospital mortality.
详细描述
All German hospitals provide a set of routine data to federal adminsitration for reimbursement. This dataset includes all ICD-10-Codes (German adaption) as well as all procedure codes.
This dataset is pseudonomized and risk adjusted for every individual case and afterwards feedbacked to each participating hospital including all accumulated data from all other hospitals as well as the German Average for sepsis mortalities provided by the German Federal Institute of Statistcs for benchmarkings.
Based on this data, the icosmos trial will provide support to all participating hospitals for two major strategies to be implemented
-
An algorithm for structured analysis of
-
low-risk-fatalities as potentially preventable deaths for underlying problems in diagnosis, treatment, etc
-
high-risk-survivors as "best practice"
-
coding errors for improvement of coding quality
-
a structured sreening program of every patient on every ward in every shift for deterioration and support algorithms including consiliary support and outreach teams as well as structured education
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •for hospitals:
- •hospitals willing to participate
- •Inclusion Criteria for patients / patients' data
- •age over 16
- •coding of sepsis, severe sepsis, septic shock
排除标准
- •for hospitals:
- •no intensive care unit on site
研究组 & 干预措施
intervention
all hospitals participating in the icosmos trial will be supported in implenatation of the two main interventions.
干预措施: structured case analysis (Other)
intervention
all hospitals participating in the icosmos trial will be supported in implenatation of the two main interventions.
干预措施: strucured screening "every patient, every shift" (Other)
结局指标
主要结局
in-hospital mortality
时间窗: 3 years
in-hospital mortality of all patients coded with sepsis, severe sepsis and septic shock in absolute numbers and in relation to the German average
sepsis codings
时间窗: 3 years
developement of coding of sepsis, severe sepsis and septic shock in absolte numbers and in relation to the German Average
次要结局
未报告次要终点
研究者
Hendrik Rüddel
trial manager, leader of trial management team
Center for Sepsis Control and Care, Germany