Miguel Yanes, José María DeMuñoz González, JavierAndueza Lillo, Juan AntonioMoyano Villaseca, BertaGonzález Ramallo, Víctor JoséBustamante Fermosel, Ana2024-01-152024-01-152009De Miguel-Yanes JM, Muñoz-González J, Andueza-Lillo JA, Moyano-Villaseca B, González-Ramallo VJ, Bustamante-Fermosel A. Implementation of a bundle of actions to improve adherence to the Surviving Sepsis Campaign guidelines at the ED. Am J Emerg Med. 2009 Jul;27(6):668-740735-675710.1016/j.ajem.2008.05.010https://hdl.handle.net/20.500.14352/92936Purposes: 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 admissionengjournal articlehttps://doi.org/10.1016/j.ajem.2008.05.010https://pubmed.ncbi.nlm.nih.gov/19751623/restricted access616.1/.9Medicina3109.04 Medicina Interna