The use of care bundles is recommended
by the SSC and other international
sepsis forums. Care bundles bring together
a small number of interventions that,
when undertaken together and reliably,
improve patient outcomes (Institute for
Healthcare Improvement, 2012). SSC guidance
presents two bundles for severe sepsis
and septic shock, with actions to be delivered
within three hours and six hours of
identification (previously known as the
“Resuscitation and Management bundles”)
(Dellinger et al, 2013). Daniels et al (2010)
note that, although the SSC bundles are
internationally recognised, they have elements
that require critical-care skills that
are not always available in emergency
departments or acute medical units
(AMUs), where they are most likely to be started. McNeill et al (2008) found that few
AMUs in the UK were able to resuscitate
patients using the SSC care bundles.
The use of care bundles is recommendedby the SSC and other internationalsepsis forums. Care bundles bring togethera small number of interventions that,when undertaken together and reliably,improve patient outcomes (Institute forHealthcare Improvement, 2012). SSC guidancepresents two bundles for severe sepsisand septic shock, with actions to be deliveredwithin three hours and six hours ofidentification (previously known as the“Resuscitation and Management bundles”)(Dellinger et al, 2013). Daniels et al (2010)note that, although the SSC bundles areinternationally recognised, they have elementsthat require critical-care skills thatare not always available in emergencydepartments or acute medical units(AMUs), where they are most likely to be started. McNeill et al (2008) found that fewAMUs in the UK were able to resuscitatepatients using the SSC care bundles.
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