%0 Journal Article
%A Miguel Yanes, José María De
%A Muñoz González, Javier
%A Andueza Lillo, Juan Antonio
%A Moyano Villaseca, Berta
%A González Ramallo, Víctor José
%A Bustamante Fermosel, Ana
%T Implementation of a bundle of actions to improve adherence to the Surviving Sepsis Campaign guidelines at the ED
%D 2009
%@ 0735-6757
%U https://hdl.handle.net/20.500.14352/92936
%X Purposes: We had previously demonstrated surviving sepsis campaign guidelines had not had enough impact at our Emergency Department.Basic procedures: Actions directed to increase the qualification of our staff and residents, to facilitate guidelines divulgation and to improve spatial conditions by creating a High Dependency Unit were implemented as a bundle. The impact of these actions on the achievement of early objectives of the campaign and on mortality was analyzed.Main findings: Following campaign guidelines was more frequent after the implementation of these actions, as shown by less restrictive fluids administration for more severe cases (P = .001), earlier administration of antibiotics (P = .001) and lactate determination rate (46% vs. 12%). In-hospital mortality difference did not reach statistical difference. Physicians were able to identify high-risk patients on clinical grounds.Principal conclusions: The bundle of actions has had a moderate beneficial effect on our Emergency Department. High Dependency Units are useful for managing patients not fulfilling criteria for Intensive Care Unit admission
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