In-Hospital Sepsis
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
This indicator calculates the risk-adjusted rate of in-hospital sepsis per 1,000 discharges.
Numerator
Hospital discharges with an in-hospital sepsis event identified during a hospital stay.
Denominator
Number of discharges from an acute care institution within a fiscal year.
Exclusions
Records with invalid age, admission date or discharge date. Records with admission category of cadaveric donor or stillbirth (Admission Category Code = R or S). Mental illness (major clinical category [MCC] of Mental Diseases and Disorders [MCC = 17]): This is to account for differences in data collection between Ontario and other provinces and territories. Palliative care (ICD-10-CA: Z51.5) coded as most responsible diagnosis (MRDx). For Quebec data: palliative care (ICD-10-CA: Z51.5) coded as MRDx, or cancer (ICD-10-CA: C00–C97) coded as MRDx and Z51.5 coded in any secondary diagnosis field. 2018–2019 data onward: Medical assistance in dying (MAID) (Discharge Disposition Code = 73). Abstracts where sepsis is also identified as a preadmit condition are excluded from the numerator.
Use of Risk Adjustment
Risk Adjustments
See detailed specifications for risk adjustment: www.cihi.ca/sites/default/files/document/model-specifications.pdf
Stratifications
By reporting level: National, Province/Territory, Region, Facility.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Discharge Abstract Database (DAD), Human Metabolome Database (HMBD)
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Online tool: Your Health System