Table 2. Proportion of patients who underwent clinical procedures and received treatment in line with pre-defined standards.
| Number of patient records | Percent of patients documented receiving recommended care (95% confidence interval) | |||||
|---|---|---|---|---|---|---|
| Measure | Records with documentataion* | Records lacking documentation | All study patients† | Patients with organ dysfunction | ||
| Diagnostics | ||||||
| Complete assessment of vital signs within 1 hour | 1360 | 199 | 83.6 (81.8 to 85.5) | 81.0 (77.7 to 84.2) | ||
| Pulse rate measured within 1 hour | 1496 | 63 | 93.3 (92.9 to 94.6) | 94.1 (92.1 to 96.0) | ||
| Temperature measured within 1 hour | 1492 | 67 | 93.1 (91.9 to 94.4) | 94.3 (92.3 to 96.2) | ||
| Blood pressure measured within 1 hour | 1493 | 66 | 92.7 (91.9 to 94.0) | 93.9 (91.9 to 95.9) | ||
| Respiration rate measured within 1 hour | 1476 | 83 | 91.5 (90.9 to 92.9) | 93.4 (91.3 to 95.4) | ||
| Mental status assessed within 1 hour | 1390 | 169 | 86.0 (84.8 to 87.7) | 83.1 (80.0 to 86.2) | ||
| Blood culture taken prior to administration of antibiotics | 1350 | 95 | 85.3 (83.8 to 87.1) | 84.6 (81.6 to 87.6) | ||
| Adequate supplementary examinations to identify source of infection | 1548 | 11 | 93.7 (92.9 to 94.9) | 93.7 (91.7 to 95.7) | ||
| Time to triage (≤ 15 min) | 1375 | 184 | 72.9 (70.7 to 75.1) | 77.0 (73.5 to 80.5) | ||
| Adequate observation regimen in ED | 1524 | 35 | 44.4 (41.4 to 46.9) | 47.4 (43.2 to 51.6) | ||
| Examination by physician in accordance with triage urgency | 1105 | 454 | 44.9 (42.4 to 47.4) | 47.6 (43.4 to 51.7) | ||
| Leukocytes count | Blood samples taken within 1 hour | 1534 | 25 | 87.1 (85.8 to 88.8) | 88.5 (85.9 to 91.2) | |
| Hemoglobin | 1533 | 26 | 87.2 (85.8 to 88.8) | 88.2 (85.5 to 90.8) | ||
| C-reactive protein | 1534 | 25 | 87.0 (85.8 to 88.7) | 88.5 (85.9 to 91.2) | ||
| Creatinine | 1525 | 34 | 86.7 (85.8 to 88.3) | 88.3 (85.7 to 91.0) | ||
| Electrolytes | 1524 | 35 | 86.8 (85.8 to 88.5) | 88.3 (85.7 to 91.0) | ||
| Platelet count | 1510 | 49 | 85.8 (84.8 to 87.5) | 87.4 (84.7 to 90.2) | ||
| Glucose | 1492 | 67 | 85.1 (83.8 to 86.9) | 87.6 (84.9 to 90.4) | ||
| Bilirubin | 963 | 482 | 62.0 (59.6 to 64.4) | 66.2 (62.3 to 70.2) | ||
| Blood lactate | 955 | 604 | 48.6 (46.4 to 51.1) | 58.5 (54.4 to 62.6) | ||
| Treatment | ||||||
| Antibiotics within 1 hour‡ | 1313 | 132 | 25.5 (23.2 to 27.7) | 30.4 (26.4 to 34.3) | ||
| Antibiotics within 2 hours‡ | 1313 | 132 | 55.5 (52.9 to 58.1) | 59.4 (55.2 to 63.6) | ||
| Antibiotics within 4 hours‡ | 1313 | 132 | 79.7 (77.6 to 81.7) | 82.5 (79.2 to 85.7) | ||
* Total number of records: 1559
† Patients with suspected infection together with two systemic inflammatory response syndrome signs
‡ n = 1438 (patients registered as needing antibiotic treatment and not having received antibiotics prior to admission)