Clinical care standard indicators: Sepsis
Indicator Set Attributes
Identifying and definitional attributes | |
Metadata item type:![]() | Indicator Set |
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Indicator set type:![]() | Other |
METEOR identifier:![]() | 755589 |
Registration status:![]() | Australian Commission on Safety and Quality in Health Care, Standard 30/06/2022 |
Description:![]() | The Australian Commission on Safety and Quality in Health Care has developed these indicators to support healthcare services to monitor implementation of the care described in the Sepsis Clinical Care Standard (ACSQHC, 2022). The indicators included in this specification are a tool to support local clinical quality improvement and may be used to support other quality assurance and peer review activities. The standard has been developed as one of eight components of the National Sepsis Program. The National Sepsis Program aims to improve early recognition, treatment, outcomes and post-discharge support for people at risk of, or diagnosed with, sepsis in Australia. The goal of this standard is to ensure that a patient presenting with signs and symptoms of sepsis is recognised early and receives coordinated, best-practice care so that the risk of death or ongoing morbidity is reduced. The standard relates to neonatal, paediatric and adult patients in the primary and community care, acute and non-acute settings. It relates to the patient journey from symptom onset, to discharge from hospital and survivorship care. While the standard does not provide specific guidance on the management of sepsis in patients receiving palliative or end-of-life care, this care should align with patients’ individual healthcare directives. The standard does not cover:
A clinical care standard contains a small number of quality statements that describe the clinical care expected for a specific clinical condition or procedure. Indicators are included for some quality statements to help health service organisations monitor how well they are implementing the care recommended in the clinical care standard. The quality statements that are included in the Sepsis Clinical Care Standard are as follows:
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Relational attributes | |
Indicators linked to this Indicator set:![]() | Sepsis clinical care standard indicators: 1a-Proportion of patients with suspected sepsis who had blood lactate levels taken as a part of screening for sepsis Australian Commission on Safety and Quality in Health Care, Standard 30/06/2022 Sepsis clinical care standard indicators: 2a-Evidence of a locally approved sepsis clinical pathway Australian Commission on Safety and Quality in Health Care, Standard 30/06/2022 Sepsis clinical care standard indicators: 2b-Evidence of local arrangements that support the delivery of care described in the local sepsis clinical pathway Australian Commission on Safety and Quality in Health Care, Standard 30/06/2022 Sepsis clinical care standard indicators: 2c-Proportion of patients with sepsis who were treated according to the locally approved sepsis clinical pathway Australian Commission on Safety and Quality in Health Care, Standard 30/06/2022 Sepsis clinical care standard indicators: 3a-Proportion of patients with sepsis who had blood cultures taken prior to starting antimicrobials Australian Commission on Safety and Quality in Health Care, Standard 30/06/2022 Sepsis clinical care standard indicators: 3b-Proportion of patients with signs and symptoms of infection-related organ dysfunction who started their first dose of an empirical antimicrobial within 60 minutes of recognition Australian Commission on Safety and Quality in Health Care, Standard 30/06/2022 Sepsis clinical care standard indicators: 4a-Evidence of local arrangements to support multidisciplinary care coordination and clinical communication for patients with sepsis Australian Commission on Safety and Quality in Health Care, Standard 30/06/2022 Sepsis clinical care standard indicators: 5a-Proportion of patients with sepsis who reported they were kept informed as much as they wanted about their treatment and care Australian Commission on Safety and Quality in Health Care, Standard 30/06/2022 Sepsis clinical care standard indicators: 6a-Proportion of patients with sepsis who had a diagnosis of sepsis recorded in their discharge summary Australian Commission on Safety and Quality in Health Care, Standard 30/06/2022 |
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Collection and usage attributes | |
National reporting arrangement:![]() | Clinicians and health service organisations may choose to prioritise some of the indicators based on the focus of quality improvement activities at the health service. No benchmarks are set for the indicators. |
Comments:![]() | Monitoring the implementation of the Sepsis Clinical Care Standard (ACSQHC, 2022) will assist in meeting some of the requirements of the National Safety and Quality Health Service Standards (ACSQHC, 2021). Some data required to support computation of the indicators can be sourced from existing routine collections including local administrative data collections. Other data will need to be collected through prospective collections or retrospective medical record audits. It is important that collection of these indicators is undertaken as part of a quality improvement cycle and results are shared with all healthcare professionals involved in patient care. Exploration of the indicator data should include disaggregation by relevant clinical and demographic factors. This should include disaggregation by Aboriginal and Torres Strait Islander status and separate analysis of adult and paediatric patients. |
Source and reference attributes | |
Submitting organisation:![]() | Australian Commission on Safety and Quality in Health Care |
Reference documents:![]() | Australian Commission on Safety and Quality in Health Care. Sepsis Clinical Care Standard. Sydney: ACSQHC; 2022. Australian Commission on Safety and Quality in Health Care. National Safety and Quality Health Service Standards. 2nd ed. – version 2. Sydney: ACSQHC; 2021. Australian Commission on Safety and Quality in Health Care. Antimicrobial Stewardship Clinical Care Standard. Sydney: ACSQHC; 2020. |