tailieunhanh - Báo cáo khoa học: "The Surviving Sepsis Campaign sepsis change bundles and clinical practice"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The Surviving Sepsis Campaign sepsis change bundles and clinical practice. | Available online http content 9 6 653 Commentary The Surviving Sepsis Campaign sepsis change bundles and clinical practice R Phillip Dellinger1 and Jean-Louis Vincent2 Section of Critical Care Medicine Cooper University Hospital Robert Wood Johnson Medical School Camden New Jersey USA 2Department of Intensive Care Erasme Hospital Free University of Brussels Route de Lennik 808 1070 Brussels Belgium Corresponding author R Philip Dellinger dellinger-phil@ Published online 25 November 2005 This article is online at http content 9 6 653 2005 BioMed Central Ltd Critical Care 2005 9 653-654 DOI cc3952 See related research by Gao et al. in this issue http content 9 6 R764 Abstract The Surviving Sepsis Campaign SSC is an international effort to reduce mortality in severe sepsis and septic shock. The campaign included the creation of evidence-based guidelines sponsored and endorsed by 11 international organizations. From these guidelines sepsis change bundles for initial resuscitation 6 hours and management 24 hours were created as a performance improvement tool. In this issue of Critical Care Gao et al. have evaluated performance at their institution by using a close adaptation of the two SSC bundle sets and demonstrated an association between 100 compliance with the bundle elements and clinical outcome. The next step will be to demonstrate that the use of education and feedback for performance improvement will increase compliance and decrease mortality in the patient population in general. As members of the Surviving Sepsis Campaign SSC we are pleased to comment on the study by Gao et al. published in this issue of Critical Care 1 . Protocolized care now exists for a heart attack or a stroke based on advances detailed in the medical literature. Until now there has been no attempt to reproduce such an approach in severe sepsis despite recently published studies that have shown decreased mortality and morbidity as

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