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Implementation of the Surviving Sepsis Campaign guidelines.
Curr Opin Crit Care. 2017 Oct; 23(5):412-416.CO

Abstract

PURPOSE OF REVIEW

Early identification and appropriate management of sepsis improves outcomes. Despite convincing data showing the benefits of early recognition and treatment of sepsis and septic shock, implementation of such evidence-based therapy is suboptimal. This review describes methods that have been shown to improve bedside application of the evidence-based guidelines.

RECENT FINDINGS

The Surviving Sepsis Campaign (SSC) has developed guidelines for the management of severe sepsis and septic shock. The initial SSC guidelines were published in 2004; as evidence continued to evolve, the guidelines were updated, with the most recent iteration published in 2016. Guidelines by themselves can take years to change clinical practice. To affect more rapid change, the SSC guidelines are filtered into bundles to impact behavior change in a simple and uniform way.

SUMMARY

Implementation of the SSC bundles revolves around practice improvement measures. Hospitals that have successfully implemented these bundles have consistently shown improved outcomes and reductions in healthcare spending. Finally, the Centers for Medicare and Medicaid Services has approved SSC bundle compliance as a core measure, and hospitals in the United States are mandated to collect and report their data regularly to Centers for Medicare and Medicaid Services.

Authors+Show Affiliations

NYU School of Medicine, Bellevue Hospital Center, New York City, New York, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28858918

Citation

Mukherjee, Vikramjit, and Laura Evans. "Implementation of the Surviving Sepsis Campaign Guidelines." Current Opinion in Critical Care, vol. 23, no. 5, 2017, pp. 412-416.
Mukherjee V, Evans L. Implementation of the Surviving Sepsis Campaign guidelines. Curr Opin Crit Care. 2017;23(5):412-416.
Mukherjee, V., & Evans, L. (2017). Implementation of the Surviving Sepsis Campaign guidelines. Current Opinion in Critical Care, 23(5), 412-416. https://doi.org/10.1097/MCC.0000000000000438
Mukherjee V, Evans L. Implementation of the Surviving Sepsis Campaign Guidelines. Curr Opin Crit Care. 2017;23(5):412-416. PubMed PMID: 28858918.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Implementation of the Surviving Sepsis Campaign guidelines. AU - Mukherjee,Vikramjit, AU - Evans,Laura, PY - 2017/9/1/entrez PY - 2017/9/1/pubmed PY - 2018/6/6/medline SP - 412 EP - 416 JF - Current opinion in critical care JO - Curr Opin Crit Care VL - 23 IS - 5 N2 - PURPOSE OF REVIEW: Early identification and appropriate management of sepsis improves outcomes. Despite convincing data showing the benefits of early recognition and treatment of sepsis and septic shock, implementation of such evidence-based therapy is suboptimal. This review describes methods that have been shown to improve bedside application of the evidence-based guidelines. RECENT FINDINGS: The Surviving Sepsis Campaign (SSC) has developed guidelines for the management of severe sepsis and septic shock. The initial SSC guidelines were published in 2004; as evidence continued to evolve, the guidelines were updated, with the most recent iteration published in 2016. Guidelines by themselves can take years to change clinical practice. To affect more rapid change, the SSC guidelines are filtered into bundles to impact behavior change in a simple and uniform way. SUMMARY: Implementation of the SSC bundles revolves around practice improvement measures. Hospitals that have successfully implemented these bundles have consistently shown improved outcomes and reductions in healthcare spending. Finally, the Centers for Medicare and Medicaid Services has approved SSC bundle compliance as a core measure, and hospitals in the United States are mandated to collect and report their data regularly to Centers for Medicare and Medicaid Services. SN - 1531-7072 UR - https://www.unboundmedicine.com/medline/citation/28858918/Implementation_of_the_Surviving_Sepsis_Campaign_guidelines_ DB - PRIME DP - Unbound Medicine ER -