title: Performance improvement in the management of sepsis.
abstract: Sepsis guidelines, although creating a base to allow change in health care practitioner behavior, do not, in and of themselves, effect change. Change only comes with institution of a PI program, converting a core of key goals of guideline recommendations to quality indicators, and giving feedback on performance. These quality indicators are tracked before or during (recommended approach) initiation of hospital-wide education to evaluate baseline performance. When combining multispecialty and multidisciplinary champions in the ED, hospital wards, ICU, and hospital administrative leadership with timely performance feedback, case failure analysis, and re-education, an opportunity to succeed in decreasing mortality in severe sepsis can be achieved. Sepsis bundle indicators require updating as new evidence emerges and new guidelines are published.(30,31)
authors.affiliation: Division of Critical Care Medicine, Department of Medicine, Cooper University Hospital, Camden, NJ 08103, USA. schorr-christa@cooperhealth.edu
authors.forename: Christa
authors.initials: C
authors.lastname: Schorr
mesh_terms: D002985:Clinical Protocols; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care; D019984:Quality Indicators, Health Care; D018805:Sepsis / Q000628:therapy*