Table 2.
Facility Characteristic, Capability, and Protocol Component | CAH Facilities Only | Non-CAH Facilitiesa | ||
---|---|---|---|---|
uOR | 95% CI | uOR | 95% CI | |
On-Site Physician | 1.19 | 0.94–1.53 | ||
ICU Level 2 | 1.44 | 1.27–1.63 | 0.35 | 0.21–0.59 |
ICU Level 2 Modified | 0.98 | 0.69–1.39 | 0.34 | 0.19–0.59 |
ICU Level 3 | 0.92 | 0.70–1.20 | 0.26 | 0.12–0.57 |
Infectious Disease Specialist Accessible 24 hrs | 0.94 | 0.83–1.06 | 0.30 | 0.19–0.47 |
Family Medicine Specialist Accessible 24 hrs | 0.60 | 0.49–0.74 | 0.54 | 0.15–1.92 |
Dedicated Critical Care Physicians | 0.90 | 0.60–1.35 | 0.38 | 0.22–0.64 |
Critical Care Physicians Accessible 24 hrs | 0.88 | 0.67–1.14 | 0.34 | 0.19–0.59 |
Telemedicine Services - Critical Care | 0.73 | 0.56–0.96 | 1.15 | 0.53–2.48 |
Telemedicine Services - Emergency Medicine | 0.91 | 0.70–1.18 | 1.94 | 1.41–2.65 |
Pharmacist Onsite 24/7 vs none | 1.34 | 1.04–1.71 | 0.52 | 0.29–0.91 |
Pharmacist On-Call/Tele-Pharmacy vs none. | 0.92 | 0.69–1.21 | 1.74 | 0.91–3.32 |
Managing Patienton Mechanical Ventilator (>24 hrs) | 0.97 | 0.76–1.22 | 0.16 | 0.12–0.21 |
Performed within Past Month | 1.26 | 1.00–1.59 | 0.49 | 0.24–1.04 |
Administering Vasopressor Therapy (>24 hrs) | 0.88 | 0.69–1.13 | ||
Performed within Past Month | 1.31 | 0.93–1.83 | 0.35 | 0.17–0.74 |
Performing Hemodialysis | 1.34 | 1.14–1.57 | 0.38 | 0.22–0.66 |
Placing Central Lines | 0.72 | 0.58–0.88 | ||
Performed within Past Month | 1.14 | 0.91–1.44 | 0.78 | 0.37–1.68 |
Placed by Intensivist | 1.44 | 1.27–1.63 | 0.39 | 0.20–0.60 |
Placed by Emergency Physician | 0.94 | 0.72–1.23 | 0.69 | 0.37–1.27 |
Placed by Generalist | 0.95 | 0.70–1.29 | 1.21 | 0.64–2.31 |
Placed byAdvanced Practice Provider | 0.90 | 0.60–1.34 | 0.77 | 0.36–1.64 |
Placed by Surgeon | 0.65 | 0.52–0.81 | 1.67 | 0.91–3.43 |
Use of Continuous Capnography while Monitoring Intubated Patients | 1.22 | 1.07–1.39 | 1.07 | 0.60–1.93 |
Use of Capnography During Procedural Sedation in the ED | 0.91 | 0.72–1.15 | 0.68 | 0.42–1.09 |
Standardized Criteria Writtenor Unwritten in Place for Transferring Patients with Sepsis | 0.97 | 0.76–1.23 | 1.02 | 0.52–1.99 |
Specific Arrangements for Transferring Patients with Sepsis to a Specific Hospital for Further Care | 0.95 | 0.68–1.33 | 1.03 | 0.33–3.20 |
Black boxes indicate capabilities where all facilities had access;as a result, we could not model transfer as an outcome based on capability.