拯救脓毒症运动脓毒症改变集束与临床实践。
The Surviving Sepsis Campaign sepsis change bundles and clinical practice.
作者信息
Dellinger R Phillip, Vincent Jean-Louis
机构信息
Section of Critical Care Medicine, Cooper University Hospital, Robert Wood Johnson Medical School, Camden, New Jersey, USA.
出版信息
Crit Care. 2005;9(6):653-4. doi: 10.1186/cc3952. Epub 2005 Nov 25.
Abstract
The Surviving Sepsis Campaign (SSC) is an international effort to reduce mortality in severe sepsis and septic shock. The campaign included the creation of evidence-based guidelines sponsored and endorsed by 11 international organizations. From these guidelines, sepsis change bundles for initial resuscitation (6 hours) and management (24 hours) were created as a performance improvement tool. In this issue of Critical Care, Gao et al. have evaluated performance at their institution by using a close adaptation of the two SSC bundle sets and demonstrated an association between 100% compliance with the bundle elements and clinical outcome. The next step will be to demonstrate that the use of education and feedback for performance improvement will increase compliance and decrease mortality in the patient population in general.
摘要
拯救脓毒症运动（SSC）是一项旨在降低严重脓毒症和脓毒性休克死亡率的国际行动。该运动包括制定由11个国际组织发起和认可的循证指南。基于这些指南，制定了用于初始复苏（6小时）和管理（24小时）的脓毒症改进集束方案，作为一种绩效改进工具。在本期《重症监护》中，高等人通过紧密采用两套SSC集束方案评估了他们机构的绩效，并证明了100%符合集束要素与临床结果之间的关联。下一步将是证明利用教育和反馈来改进绩效将提高总体患者群体的依从性并降低死亡率。
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本文引用的文献
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The impact of compliance with 6-hour and 24-hour sepsis bundles on hospital mortality in patients with severe sepsis: a prospective observational study.6小时和24小时脓毒症集束化治疗的依从性对严重脓毒症患者医院死亡率的影响：一项前瞻性观察性研究。
Crit Care. 2005;9(6):R764-70. doi: 10.1186/cc3909. Epub 2005 Nov 11.
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Sepsis change bundles: converting guidelines into meaningful change in behavior and clinical outcome.脓毒症变革集束：将指南转化为行为和临床结局的有意义改变。
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