Under “Rory's Regulations,” use of the three-hour bundle for severe sepsis and septic shock increased from 53.4% to 64.7%, while six-hour bundle compliance increased from 23.9% to 30.8%.
The study's authors expected the introduction of a high-sensitivity assay to improve outcomes, so the results raise questions about the appropriate diagnostic threshold for myocardial infarction.
Patients with interhospital stroke transfers had higher mortality, more severe disability than front-door patients
The differing characteristics of patients who are transferred should be accounted for in the quality measurements of receiving hospitals, the study authors suggested.
The analysis also found that 91.2% of patients had a discharge summary completed within 24 hours, but that patients were less likely to receive a timely summary if the treating team had a higher volume of orders the day before discharge.