The collaborative aims to reduce mortality and hospital onset severe sepsis through a data driven initiative grounded in improvement science and best evidence.
As your organization evaluates enrollment in the Improving Pediatric Sepsis Outcomes (IPSO) collaborative, here’s information to help clarify the kinds of data IPSO uses and associated resources.
Sepsis terminology can be a source of confusion. IPSO uses practical criteria to approximate the sepsis continuum for quality improvement purposes.
- Severe sepsis and septic shock definitions align with the Goldstein terminology
- Non-severe sepsis definition aligns most closely with the existing Goldstein category of sepsis
IPSO hospitals use standardized intervention bundles for severe sepsis prevention, recognition, evaluation, resuscitation, and de-escalation of care in EDs, PICUs/CICUs, cancer care and transplant, and general care settings.
IPSO participants receive access to many resources for data collection and reaction including the data dictionary, tools, webinars, consultation, and EMR techniques. While planning for participation, evaluate IPSO data readiness and scope the needed resources in three ways.
- Map sepsis data. Use the data summary tables in this guide to map the sources of sepsis data in your current environment. Remember that you will be collecting data in EDs, PICUs/CICUs, cancer care and transplant settings, and general care settings. Data sources may be different across those settings.
- Identify sepsis episodes. What is the incidence of severe sepsis/septic shock at your hospital? How are patients with severe sepsis/septic shock documented, and are those patients reliably flagged? If the system relies on ICD10 coding, is it accurately applied?
- Data collection strategies. Review current sepsis data tools. Does your hospital use sepsis order sets, alerts or dashboards? Is sepsis data centralized? Can you query EMRs for sepsis data?
Participants submit monthly data to the IPSO collaborative database via a web-based platform developed for IPSO by Prometheus Research. Submission methods are flexible to minimize data burden:
- Extract data from the EMR and submit via a .csv or excel template
- Export data from REDCap or similar form-based applications and submit via a .csv or excel template
- Use web-based data capture forms
The web-based platform also provides performance reports, user access management tools, and a technical support interface.
In addition to the data infrastructure, CHA provides enrolled hospitals with data QA tools, documentation, training, webinars, office hours and a help desk.