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Implementing Early Goal‐directed Therapy in the Emergency Setting: The Challenges and Experiences of Translating Research Innovations into Clinical Reality in Academic and Community Settings
Author(s) -
Jones Alan E.,
Shapiro Nathan I.,
Roshon Michael
Publication year - 2007
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/j.1553-2712.2007.tb02391.x
Subject(s) - medicine , early goal directed therapy , medical education , surgery , severe sepsis , septic shock , sepsis
Research knowledge translation into clinical practice pathways is a complex process that is often time‐consuming and resource‐intensive. Recent evidence suggests that the use of early goal‐directed therapy (EGDT) in the emergency department care of patients with severe sepsis and septic shock results in a substantial mortality benefit; however, EGDT is a time‐ and resource‐intensive intervention. The feasibility with which institutions may translate EGDT from a research protocol into routine clinical care, among settings with varying resources, staff, and training, is largely unknown. The authors report the individual experiences of EGDT protocol development, as well as preimplementation and postimplementation experiences, at three institutions with different emergency department, intensive care unit, and hospital organization schemes.