Clinical Scorecard: Development of a Comprehensive Evaluation Framework for Sepsis Care Quality: Insights from a Three-Phase Mixed-Methods Delphi Study
At a Glance
Category
Detail
Condition
Sepsis
Key Mechanisms
Dysregulated immune response to infection leading to life-threatening organ dysfunction.
Target Population
Patients with sepsis in China.
Care Setting
Emergency departments and intensive care units (ICUs).
Key Highlights
Development of nursing-sensitive quality indicators (NSQIs) for sepsis care quality.
Consensus achieved among clinical experts through a modified Delphi process.
Framework includes three primary, nine secondary, and 30 tertiary indicators.
Guideline-Based Recommendations
Diagnosis
Utilize clinical assessment tools such as qSOFA, SOFA, SIRS criteria, and NEWS for timely diagnosis.
Management
Implement the Surviving Sepsis Campaign 1-h bundle including lactate measurement, blood culture collection, and broad-spectrum antibiotic administration.
Monitoring & Follow-up
Continuous monitoring of urine output and hemodynamic status.
Risks
High nursing workloads and regional disparities in healthcare access may impact sepsis management.
Patient & Prescribing Data
Patients with sepsis in tertiary hospitals in China.
Tailored sepsis management protocols are necessary due to unique healthcare system characteristics.
Clinical Best Practices
Early identification and intervention for infections and multi-organ dysfunction.
Standardized protocols for sepsis management should be consistently implemented.
