title: Sepsis and Shock Response Team: Impact of a Multidisciplinary Approach to Implementing Surviving Sepsis Campaign Guidelines and Surviving the Process.
abstract: The Surviving Sepsis Campaign guidelines are designed to decrease mortality through consistent application of a 7-element bundle. This study evaluated the impact of improvement in bundle adherence using a time-series analysis of compliance with the bundle elements before and after interventions intended to improve the process, while also looking at hospital mortality. This article describes interventions used to improve bundle compliance and hospital mortality in patients admitted through the emergency department with sepsis, severe sepsis, or septic shock. Quality improvement methodology was used to develop high-impact interventions that led to dramatically improved adherence to the Surviving Sepsis Campaign guidelines bundle. Improved performance was associated with a significant decrease in the in-hospital mortality of severe sepsis patients presenting to the emergency department.
authors.affiliation: 1 Mayo Clinic, Jacksonville, FL.
authors.forename: Ami
authors.initials: A
authors.lastname: Grek
authors.affiliation: 1 Mayo Clinic, Jacksonville, FL.
authors.forename: Sandra
authors.initials: S
authors.lastname: Booth
authors.affiliation: 1 Mayo Clinic, Jacksonville, FL.
authors.forename: Emir
authors.initials: E
authors.lastname: Festic
authors.affiliation: 1 Mayo Clinic, Jacksonville, FL.
authors.forename: Michael
authors.initials: M
authors.lastname: Maniaci
authors.affiliation: 1 Mayo Clinic, Jacksonville, FL.
authors.forename: Ehsan
authors.initials: E
authors.lastname: Shirazi
authors.affiliation: 1 Mayo Clinic, Jacksonville, FL.
authors.forename: Kristine
authors.initials: K
authors.lastname: Thompson
authors.affiliation: 1 Mayo Clinic, Jacksonville, FL.
authors.forename: Angela
authors.initials: A
authors.lastname: Starbuck
authors.affiliation: 1 Mayo Clinic, Jacksonville, FL.
authors.forename: Chad
authors.initials: C
authors.lastname: Mcree
authors.affiliation: 1 Mayo Clinic, Jacksonville, FL.
authors.forename: James M
authors.initials: JM
authors.lastname: Naessens
authors.affiliation: 1 Mayo Clinic, Jacksonville, FL.
authors.forename: Pablo
authors.initials: P
authors.lastname: Moreno Franco
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D019983:Guideline Adherence / Q000458:organization & administration; D006293:Health Promotion / Q000458:organization & administration*; D017052:Hospital Mortality; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008875:Middle Aged; D064872:Patient Care Bundles; D017410:Practice Guidelines as Topic; D016730:Program Development; D058996:Quality Improvement / Q000458:organization & administration / Q000706:statistics & numerical data; D018805:Sepsis / Q000401:mortality / Q000628:therapy*; D012772:Shock, Septic / Q000401:mortality / Q000628:therapy*
keywords: quality; sepsis; team