Sepsis bundles like the CMS SEP-1 guidelines are too restrictive, requiring an all-or-nothing approach to achieve compliance. These bundles fail to prioritize the most important bundle components while penalizing providers for meaningless omissions that have no impact on mortality.
With ED boarding, the burden of sign-out patients is greater than ever. This study shows just what I expected. All of these sign-out patients negatively affects how many new cases each resident is able to see on each shift.