Quality Improvement in Infection COntrol and Sepsis Management in MOdel Regions

Summary

The German Quality Network Sepsis is an association trying to improve quality of care for patients with sepsis, severe sepsis and septic shock or being in risc thereof.

The icosmos trial investigates the impact on the use of routine data, a risk adjustment algorithm and feedback to all hospitals as well as a structured implementation for regular screening for deteriorating patients, and education on in-hospital mortality.

Conditions

• Sepsis
• Severe Sepsis
• Septic Shock

Interventions

OTHER

structured case analysis

implementation of a structured analysis of cases coded as sepsis, severe sepsis, or septic shock after risk adjustment for low-risk-fatalities, high-risk-survivors, and coding errors for preventable deaths, best practice, quality improvement and improvement in coding precision.

OTHER

strucured screening "every patient, every shift"

implementation of a strutured screening and rescue algorithm on regular wards, emergency departements, and intermediate and intensive care units by checking every patient in every shifts for clinical signs of deterioration and apllying a rescue algorithm including consiliary help and/or the help of outreach teams

Sponsors & Collaborators

• German Federal Ministry of Education and Research

  collaborator OTHER_GOV

• Vivantes Berlin Hospitals

  collaborator UNKNOWN

• Klinikum Nürnberg

  collaborator OTHER

• Sana Clinics

  collaborator UNKNOWN

• University Hospital Augsburg

  collaborator OTHER

• Zentralklinik Bad Berka

  collaborator OTHER

• Bundeswehrkrankenhaus Berlin

  collaborator OTHER

• University Hospital, Bonn

  collaborator OTHER

• Bremen Hospitals

  collaborator UNKNOWN

• Herzzentrum Coswig

  collaborator OTHER

• Klinikum Lippe Detmold

  collaborator OTHER

• Krankenhaus Dresden Friedrichstadt

  collaborator UNKNOWN

• Krankenhaus Düren

  collaborator UNKNOWN

• Heinrich-Heine University, Duesseldorf

  collaborator OTHER

• Klinikum St. Georg gGmbH

  collaborator OTHER

• Rudolf Elle Hospital Eisenberg

  collaborator UNKNOWN

• Klinikum Emden

  collaborator OTHER

• BG Klinikum Frankfurt Main

  collaborator UNKNOWN

• SRH Hospital Gera

  collaborator UNKNOWN

• Asklepios Clinics

  collaborator UNKNOWN

• Greifswald University Hospital

  collaborator UNKNOWN

• Deutsches Rotes Kreuz DRK-Blutspendedienst Baden-Wurttemberg-Hessen

  collaborator OTHER

• University Hospital in Halle

  collaborator OTHER

• Hannover Medical School

  collaborator OTHER

• University Hospitals of Schleswig-Holstein

  collaborator UNKNOWN

• St. Elisabeth Hospital Cologne

  collaborator UNKNOWN

• Leipzig University Hospital

  collaborator UNKNOWN

• Magdeburg University Hospital

  collaborator UNKNOWN

• Mannheim University Hospital

  collaborator UNKNOWN

• Munich University Hospital Rechts der Isar

  collaborator UNKNOWN

• Trauma Center Murnau

  collaborator UNKNOWN

• Havelland Hospitals

  collaborator UNKNOWN

• Nordhausen South Harz Hospital

  collaborator UNKNOWN

• Oldenburg Hospital

  collaborator UNKNOWN

• Rostock Southern City Hospital

  collaborator UNKNOWN

• Saarbruecken Hospital

  collaborator UNKNOWN

• Siegen Diakonie Hospital

  collaborator UNKNOWN

• Stuttgart Hospital

  collaborator UNKNOWN

• SRH Central Hospital Suhl

  collaborator UNKNOWN

• MediClin Mueritz Hospital Waren

  collaborator UNKNOWN

• Werdau Pleissetal Hospital

  collaborator UNKNOWN

• Center for Sepsis Control and Care, Germany

  lead OTHER

Study Design

Allocation

NA

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

16 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2015-08-31

Primary Completion

2019-07-31

Completion

2019-07-31

Countries

• Germany

Study Locations