Data are collected for two patient populations: non-severe sepsis and severe sepsis/septic shock. Sources for the data elements may include the EMR, patient charts, MAR and lab data. The number of hospital admissions in a month is also collected.
- For the non-severe sepsis patient population there are four core data elements (variables) about two care processes.
- For the severe sepsis/septic shock patient population there are 18 variables describing a single patient episode of severe sepsis and/or septic shock. These variables relate to care processes and patient outcomes.
- There are 26 optional variables that are useful for patient stratification and special analyses.
- Screening, trigger tool
- Antibiotics (timing, appropriateness)
- Fluids (timing)
- Vasoactive agents
- Treatment de-escalation
A note about IPSO sepsis definitions: Sepsis terminology can be a source of confusion. IPSO uses pragmatic criteria to approximate the sepsis continuum for purposes of quality improvement. For IPSO, severe sepsis and septic shock definitions align with the Goldstein terminology. The term non-severe sepsis aligns most closely with the existing Goldstein category of sepsis. The definition of non-severe sepsis is applied to patients where there is concern for the presence of an invasive infection at risk of progressing to severe sepsis or septic shock.
Data submission methods are flexible to minimize data burden. Hospitals can extract from the electronic medical record, use a web-based data capture system, or export data from REDCap or similar form-based applications. Analyses and reports are available through IPSO’s secure web portal.