Physician Variation in Early Sepsis Management

In this mixed-methods study, ED physicians' antimicrobial administration time for sepsis varied significantly, but faster antimicrobial initiation practice patterns were not associated with overtreatment. Physicians with shorter door-to-antimicrobial times described a proactive, parallel processing approach to sepsis care.

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Publication Details

Journal
JAMA Network Open
Published
2026-02-13
DOI
https://doi.org/10.1001/jamanetworkopen.2025.56945
Primary Topic
Sepsis Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
0.00

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article

Physician Variation in Early Sepsis Management

Joseph R. Bledsoe, Ithan D. Peltan, Chaorong Wu, Angela P. Presson et al.
JAMA Network Open
Sepsis Diagnosis and Treatment
article

Physician Variation in Early Sepsis Management

Joseph R. Bledsoe, Ithan D. Peltan, Chaorong Wu, Angela P. Presson, Matthew A. Christensen, Fiona M. Schroeder, Jorie Butler, Tom H. Greene, Catherine L. Hough, Danielle Groat, Samuel M. Brown, Matthew H. Samore, Blessing S. Ofori-Atta, M. Blakely May
article en

Abstract

In this mixed-methods study, ED physicians' antimicrobial administration time for sepsis varied significantly, but faster antimicrobial initiation practice patterns were not associated with overtreatment. Physicians with shorter door-to-antimicrobial times described a proactive, parallel processing approach to sepsis care.

JAMA Network OpenVol. 9(2)
Intermountain Healthcare (US), Oregon Health & Science University (US), University of Utah (US), Intermountain Medical Center (US), Vanderbilt University Medical Center (US)
U.S. Department of Veterans Affairs, Novartis, Intermountain Research and Medical Foundation, Regeneron Pharmaceuticals, National Institutes of Health, Centers for Disease Control and Prevention, Agency for Healthcare Research and Quality, University of California, San Francisco, National Center for Advancing Translational Sciences
Openalex Percentile: Top 56%
Sepsis Diagnosis and Treatment
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Physician Variation in Early Sepsis Management — Joseph R. Bledsoe, Ithan D. Peltan, et al. · JAMA Network Open (2026) | TGRS Research Map | TGRS