Hospital Differences Drive Antibiotic Delays for Black Patients Compared With White Patients With Suspected Septic Shock

Objective: Evaluate racial disparities in sepsis processes of care. Design: Observational cohort study. Setting: Nine hospitals in the Southeastern United States between 2014 and 2016. Patients: Two thousand two hundred twenty-one white and 707 black patients treated in the emergency department through “code sepsis” pathway for suspected septic shock. Measurements and Main Results: Black patients were less likely to receive timely antibiotics than were white patients using multiple definitions (1 hr from code sepsis activation [odds ratio, 0.57; 95% CI, [0.44–0.74]; 85.6% vs. 91.2%; p

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