A Report on 50 Reports

This study from Italy is interesting for how it is designed as a meta-analysis of performance improvement (PI) initiatives aimed at increasing compliance with clinical guidelines regarding management of sepsis. It's a bit long, with many data tables, but the upshot appears to be that implementation of PI programs increases guideline compliance and decreases mortality in patients with sepsis. Clearly the Italian definition of "performance improvement" differs from the American definition, as the authors based their meta-analysis on 50 studies (!)