IMPORTANCEThe Epic Sepsis Model (ESM), a proprietary sepsis prediction model, is implemented at hundreds of US hospitals. The ESM's ability to identify patients with sepsis has not been adequately evaluated despite widespread use.OBJECTIVE To externally validate the ESM in the prediction of sepsis and evaluate its potential clinical value compared with usual care. DESIGN, SETTING, AND PARTICIPANTSThis retrospective cohort study was conducted among 27 697 patients aged 18 years or older admitted to Michigan Medicine, the academic health system of the University of Michigan,

No abstract

No abstract

OpenSciEd is an ambitious effort to implement the vision of the Framework for K-12 Science Education and the Next Generation Science Standards broadly across the United States. The premise of OpenSciEd is that high quality instructional materials can play a critical role in transforming science teaching and learning at a broad scale. To achieve its goal, this collaborative project is developing instructional materials for middle school science that support the shifts in practice required to achieve the outcomes called for by the Framework for K-12 Science Education and the Next Generation Science Standards at a large scale. The OpenSciEd Middle School Program development project is addressing the challenge of making large changes in practice at a large scale through attention to (1) who participates in design and development, and how; (2) providing explicit guidance for developers in a comprehensive design framework; and (3) a design and development process that ensures participation from the desired participants and adherence to the guidelines of the design framework. The resulting instructional materials have shown promise in external reviews and field tests, but their success in achieving the project's goals for transforming science will depend on the circumstances in which the program is implemented.