The study clearly shows (like others) that implementing bundled care and adherence to the bundles effects mortality. This could be related to the effect on other elements of care, influenced by the implementation process, that mainly effect outcome where the elements of the bundle, have hardly any effect in and of itself. An interesting element of this is the Central Venous Pressure recommendation in the fluid resuscitation part of the Surviving Sepsis Guidelines that may even results in increased morbidity. If you then look at figure 4 in the publication, there seems to be a very significant effect of the organization (the hospital) where the completion of the 3h bundle varied largely. So, the question arises as to what is the effect of the organization itself? It might even be that implementing a 3h bundle in some hospitals is very unlikely to have any significant effect, while in others it could have huge effects. So, would it make sense to first assess the organizational aspects of the hospital before mandating to implement bundles of care? And, what organizational characteristics mark a more likely effect of implementing bundles of sepsis?
Easy one-click social registrationIs this safe?
We only receive the minimum information necessary to verify your account. We never get access to your friends/contacts or your profile, and we never post on your behalf. Your social account is used for logging in only.ORRegister via email
Send me updates on this Contest
In order to ensure a fair voting process and to make sure that no one votes more than once, we ask that you register either with a social networking account (easiest, only requires one click) or by registering with your email address (this will require you to click on a verification email that we will send you).
You only need to register once.