Start Date

5-15-2025 9:30 AM

End Date

5-15-2025 11:30 AM

Description

Introduction

  • Hospital-acquired sepsis (HAS) is a preventable cause of morbidity and mortality for hospitalized patients and is associated with greater cost and resource utilization compared to non-HAS.
  • International Statistical Classification of Disease (ICD) coding system is used to identify HAS.
  • Patients assigned HAS by ICD coding are presumed to have a nosocomial infection.
  • Errors by ICD coding may cause misclassification of HAS cases.
  • Unclear whether misclassified HAS have different outcomes than actual HAS

Keywords

sepsis, hospital-acquired sepsis, International Statistical Classification of Disease (ICD) coding system, quality improvement, health equity

Comments

Presented at the 2025 Jefferson Health Equity and Quality Improvement (HEQI) Summit.

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May 15th, 9:30 AM May 15th, 11:30 AM

Are Hospital-Acquired Sepsis Cases Over-Reported Due to How Sepsis is Coded in Electronic Health Records?

Introduction

  • Hospital-acquired sepsis (HAS) is a preventable cause of morbidity and mortality for hospitalized patients and is associated with greater cost and resource utilization compared to non-HAS.
  • International Statistical Classification of Disease (ICD) coding system is used to identify HAS.
  • Patients assigned HAS by ICD coding are presumed to have a nosocomial infection.
  • Errors by ICD coding may cause misclassification of HAS cases.
  • Unclear whether misclassified HAS have different outcomes than actual HAS