title: An innovative approach to meeting early goal-directed therapy using telemedicine.
abstract: Severe sepsis and septic shock is a major health concern. A key component in the treatment of severe sepsis and septic shock is optimization of the septic patient's abnormal physiology. However, following the evidence based guidelines present many unique challenges. The article presents the challenges and how a 5 hospital system in San Antonio, Texas uses a telemedicine approach to help comply with the sepsis bundles. A multidisciplinary sepsis team meets regularly to assess compliance and review data. The processes and tools continue to be changed accordingly, to improve adherence to best evidence practice for the severe septic and septic shock patient.
authors.affiliation: Baptist Health System, San Antonio, Texas 78217, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Loyola
authors.forename: Judy
authors.initials: J
authors.lastname: Wilhelm
authors.forename: Joy
authors.initials: J
authors.lastname: Fornos
mesh_terms: D019317:Evidence-Based Medicine; D019983:Guideline Adherence; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D008499:Medical Records / Q000592:standards; D009936:Organizational Innovation; D009937:Organizational Objectives; D017410:Practice Guidelines as Topic; D018805:Sepsis / Q000628:therapy*; D012772:Shock, Septic / Q000628:therapy; D017216:Telemedicine / Q000458:organization & administration*; D013781:Texas