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The Utility of a Quality Improvement Bundle in Bridging the Gap between Research and Standard Care in the Management of Severe Sepsis and Septic Shock in the Emergency Department
Author(s) -
Nguyen H. Bryant,
Lynch Elizabeth Lea,
Mou Joshua A.,
Lyon Kristopher,
Wittlake William A.,
Corbett Stephen W.
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.tb02392.x
Subject(s) - medicine , early goal directed therapy , septic shock , emergency department , resuscitation , sepsis , intensive care medicine , multidisciplinary approach , bridging (networking) , medical emergency , severe sepsis , emergency medicine , surgery , nursing , social science , computer network , sociology , computer science
The research in the management of severe sepsis and septic shock has resulted in a number of therapeutic strategies with significant survival benefits. These results also emphasize the primary importance of early hemodynamic resuscitation, or early goal‐directed therapy (EGDT), and place the emergency physician in the center of the multidisciplinary team caring for patients with this disease. However, in a busy emergency department, the translation of research into clinical practice is far from ideal. While the benefits are significant, the successful implementation of EGDT is filled with challenges and obstacles. In this article, we will discuss the steps taken at our institution to create, implement, measure, and improve on a six‐hour severe sepsis and septic shock treatment bundle incorporating EGDT in the emergency department setting, resulting in significant mortality benefit.