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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedRhee C, Jentzsch MS, Kadri SS
Variation in identifying sepsis and organ dysfunction using administrative versus electronic clinical data and impact on hospital outcome comparisons.
Administrative claims data are commonly used for sepsis surveillance, research, and quality improvement. However, variations in diagnosis, documentation, and coding practices for sepsis and organ dysfunction may confound efforts to estimate sepsis rates, compare outcomes, and perform risk adjustment. In this study, the investigators evaluated hospital variation in the sensitivity of claims data relative to clinical data from electronic health records and its impact on outcome comparisons.
AHRQ-funded; HS025008.
Citation: Rhee C, Jentzsch MS, Kadri SS .
Variation in identifying sepsis and organ dysfunction using administrative versus electronic clinical data and impact on hospital outcome comparisons.
Crit Care Med 2019 Apr;47(4):493-500. doi: 10.1097/ccm.0000000000003554..
Keywords: Sepsis, Electronic Health Records (EHRs), Health Information Technology (HIT)
Rhee C, Zhang Z, Kadri SS
Sepsis surveillance using adult sepsis events simplified eSOFA criteria versus sepsis-3 sequential organ failure assessment criteria.
This retrospective cohort study compared simplified organ dysfunction criteria optimized for electronic health records (eSOFA) with Sequential Organ Failure Assessment with regard to sepsis prevalence, overlap, and outcomes using 111 U.S. hospitals in the Cerner HealthFacts dataset. Clinical indicators of presumed infection, such as blood cultures and antibiotics, were identified concurrent with either: an increase in Sequential Organ Failure Assessment score by 2 or more points (Sepsis-3) or one or more eSOFA criteria. The authors conclude that the Adult Sepsis Event's eSOFA organ dysfunction criteria identify a smaller, more severely ill sepsis cohort when compared with the Sequential Organ Failure Assessment score, although there is overlap between the two and both show similar clinical characteristics.
AHRQ-funded; HS025008.
Citation: Rhee C, Zhang Z, Kadri SS .
Sepsis surveillance using adult sepsis events simplified eSOFA criteria versus sepsis-3 sequential organ failure assessment criteria.
Crit Care Med 2019 Mar;47(3):307-14. doi: 10.1097/ccm.0000000000003521..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Sepsis