Sepsis bundles: just do it.
The initial management of patients with septic shock appears to be critical in terms of determining outcome; a standardized systematic approach for the management of patients with severe infections appears to consistently improve the delivery of recommended therapies and, as a result, may improve patient outcomes. With minimal-to-no risk or acquisition costs, severe sepsis bundle implementation should become the standard of care for the management of septic shock. A multifaceted approach may aid in the success of implementation of sepsis bundles in teaching and nonteaching institutions. Bundle implementation should change clinical practice by including surveillance, feedback reporting, and staff education to organize the target interventions into packages that must be implemented in strict compliance, for every patient, to ensure uniformity and provide practical applicability. Quality improvement via utilization of protocols can be achieved, regardless of institution size or academic status, and should continue to be promoted in the intensive care unit setting.
Micek
Scott T
ST
Barnes-Jewish Hospital, St. Louis, MO, USA. stm8241@bjc.org
Sawyer
Amber M
AM
D002985:Clinical Protocols; D006801:Humans; D007362:Intensive Care Units; D011785:Quality Assurance, Health Care; D018805:Sepsis / Q000628:therapy*; D012772:Shock, Septic / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome