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When based on voluntary participation, the sample of participating units can be biased.
Participants Consecutive admissions to participating units for the years 2008-09 meeting objective, standardised criteria for severe sepsis.
All service users within participating units were approached for potential participation.
As in the NNIS system, KISS was set up with voluntary participation and confidential data feedback to participating units.
60.0 % of the participating units were at university hospitals.
The number of ICU beds of the participating units ranged from 5 to 44 (median, 12).
One quarter of the participating units did not use a sedation-management protocol.
On two-thirds of the investigation period, 2842 patients were victim of cardiac arrest in the participating units.
A common approach to mitigate the risk of nonresponse bias in survey estimates is through adjustment cell reweighting, where participating units (schools, students, teachers etc).
Intestinal carriage of ESBL-PE and nasal carriage of MRSA were routinely screened by rectal and nasal swabbing on ICU admission and weekly thereafter in all participating units.
This could also have influenced the participating units.
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