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Life sciences · Observational Study
ClinicalTrials.gov · September 28, 2026
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Observational Study.
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Registry record from ClinicalTrials.gov (NCT07843277). This is a study registration, not published results. Lead sponsor: Dr Cipto Mangunkusumo General Hospital. Recruitment status: RECRUITING. Study type: OBSERVATIONAL. Enrollment: 304 participants (ESTIMATED). Conditions: Sepsis, Antimicrobial Resistance (AMR). Interventions: OTHER: Sepsis chart (koran sepsis); OTHER: Usual care. Primary outcome measures: All-cause mortality , 7 days. Brief summary: The goal of this observational study is to evaluate the effectiveness of implementing Koran Sepsis, or sepsis chart, a paper-based order set designed to guide the implementation of the One-hour Sepsis Bundle, in improving adherence to early sepsis management and reducing 7-day mortality among adult patients with sepsis presenting to the Emergency Department. The main questions it aims to answer are: 1. Does implementation of a sepsis chart improve adherence to the One-hour Sepsis Bundle among adult patients with sepsis? 2. Does implementation of a sepsis chart reduce 7-day mortality among adult patients with sepsis? Researchers will compare the period before and after implementation of Koran Sepsis to determine whether its implementation improves adherence to the One-hour Sepsis Bundle and reduces 7-day mortality. Participants will: * Receive standard clinical care for sepsis, with management documented during the first hour after sepsis is suspected or diagnosed. * Receive care guided by sepsis chart after its implementation at the participating hospital. * Have clinical data collected from their medical records, including adherence to the One-hour Sepsis Bundle and time to administration of broad-spectrum antibiotics. * Be followed for seven days to determine their mortality outcome. The study will include adult patients aged ≥18 years diagnosed with sepsis according to the Sepsis-3 definition who present to the Emergency Department and are admitted to one of two participating hospitals: Cipto Mangunkusumo and Fatmawati General Hospital.