TABLE 5

List of Feasible Quality Measures for Sepsis Syndrome

MeasureMeasure TextData SourceRecords ReviewedFace Validity ScoreaAgreement, %κ Statistic
1The proportion of hospitals with a specific written protocol to identify and treat children with the sepsis syndrome in the EDPhone surveyNA7N/AN/A
3The proportion of hospitalized children with sepsis syndrome who had blood culture drawn within 4 h of meeting diagnostic criteria for the sepsis syndromeMedical records15787−0.07
4The proportion of hospitalized children with severe sepsis or septic shock who received parenteral antibiotics within 60 min of meeting diagnostic criteria for severe sepsis or septic shockMedical records98.7890.00
5The proportion of hospitalized children with severe sepsis or septic shock who received a fluid bolus within 60 min of meeting diagnostic criteria for severe sepsis or septic shockMedical records108.3800.38
6The proportion of hospitalized children with severe sepsis or septic shock who had documentation of heart rate at least every 15 min for the first hour of intravenous or intraosseous fluid resuscitation, and then hourlyMedical records78.357−0.24
  • N/A, not applicable.

  • a Range of 1–9.