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The utility of a quality improvement bundle in bridging the gap between research and standard care in the management of severe sepsis and septic shock in the emergency department.
Acad Emerg Med. 2007 Nov; 14(11):1079-86.AE

Abstract

The research in the management of severe sepsis and septic shock has resulted in a number of therapeutic strategies with significant survival benefits. These results also emphasize the primary importance of early hemodynamic resuscitation, or early goal-directed therapy (EGDT), and place the emergency physician in the center of the multidisciplinary team caring for patients with this disease. However, in a busy emergency department, the translation of research into clinical practice is far from ideal. While the benefits are significant, the successful implementation of EGDT is filled with challenges and obstacles. In this article, we will discuss the steps taken at our institution to create, implement, measure, and improve on a six-hour severe sepsis and septic shock treatment bundle incorporating EGDT in the emergency department setting, resulting in significant mortality benefit.

Authors+Show Affiliations

Department of Emergency Medicine, Loma Linda University, Loma Linda, CA, USA. hbnguyen@llu.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17923718

Citation

Nguyen, H Bryant, et al. "The Utility of a Quality Improvement Bundle in Bridging the Gap Between Research and Standard Care in the Management of Severe Sepsis and Septic Shock in the Emergency Department." Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, vol. 14, no. 11, 2007, pp. 1079-86.
Nguyen HB, Lynch EL, Mou JA, et al. The utility of a quality improvement bundle in bridging the gap between research and standard care in the management of severe sepsis and septic shock in the emergency department. Acad Emerg Med. 2007;14(11):1079-86.
Nguyen, H. B., Lynch, E. L., Mou, J. A., Lyon, K., Wittlake, W. A., & Corbett, S. W. (2007). The utility of a quality improvement bundle in bridging the gap between research and standard care in the management of severe sepsis and septic shock in the emergency department. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, 14(11), 1079-86.
Nguyen HB, et al. The Utility of a Quality Improvement Bundle in Bridging the Gap Between Research and Standard Care in the Management of Severe Sepsis and Septic Shock in the Emergency Department. Acad Emerg Med. 2007;14(11):1079-86. PubMed PMID: 17923718.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The utility of a quality improvement bundle in bridging the gap between research and standard care in the management of severe sepsis and septic shock in the emergency department. AU - Nguyen,H Bryant, AU - Lynch,Elizabeth Lea, AU - Mou,Joshua A, AU - Lyon,Kristopher, AU - Wittlake,William A, AU - Corbett,Stephen W, Y1 - 2007/10/08/ PY - 2007/10/10/pubmed PY - 2007/12/13/medline PY - 2007/10/10/entrez SP - 1079 EP - 86 JF - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine JO - Acad Emerg Med VL - 14 IS - 11 N2 - The research in the management of severe sepsis and septic shock has resulted in a number of therapeutic strategies with significant survival benefits. These results also emphasize the primary importance of early hemodynamic resuscitation, or early goal-directed therapy (EGDT), and place the emergency physician in the center of the multidisciplinary team caring for patients with this disease. However, in a busy emergency department, the translation of research into clinical practice is far from ideal. While the benefits are significant, the successful implementation of EGDT is filled with challenges and obstacles. In this article, we will discuss the steps taken at our institution to create, implement, measure, and improve on a six-hour severe sepsis and septic shock treatment bundle incorporating EGDT in the emergency department setting, resulting in significant mortality benefit. SN - 1553-2712 UR - https://www.unboundmedicine.com/medline/citation/17923718/The_utility_of_a_quality_improvement_bundle_in_bridging_the_gap_between_research_and_standard_care_in_the_management_of_severe_sepsis_and_septic_shock_in_the_emergency_department_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1069-6563&date=2007&volume=14&issue=11&spage=1079 DB - PRIME DP - Unbound Medicine ER -