Hospitals that had a low rate of bundle completion in this study were more likely to be teaching hospitals. These hospitals may have more clinicians to train, have higher censuses in the ED, and may have a more complex patient population.
In a recent study published in JAMA by Burke et. al. (doi:10.1001/jama.2017.5702), the authors found that mortality rates were lower at teaching hospitals as compared to non-teaching hospitals for 13 of 15 common medical conditions studied. Notably, the two conditions for which teaching hospital status did not appear to be associated with a mortality benefit were Sepsis and Stroke.
Taken together, the results of these two studies perhaps suggest that a slower time to bundle completion may be related to the finding that Sepsis outcomes are not better at teaching hospitals as compared to non-teaching hospitals.
How can we ensure that patients presenting to teaching hospitals with sepsis are rapidly recognized and intervened upon?
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