Standardization of Severe Sepsis Management: A Survey of Methodologies in Academic and Community Settings

Early Goal-directed Therapy (EGDT) for Severe Sepsis/Septic Shock: Which Components of Treatment are More Difficult to Implement in a Community-based Emergency Department?

“…Nonetheless, these studies focus on larger, tertiary centers. Nguyen et al reported on the implementation of sepsis protocols in both academic and community hospitals, advocating the need for a protocol champion and education program for success (34). Jones et al discussed the experience of implementing an EGDT protocol into a community ED; however, compliance with specific treatment elements is not reported (35).…”

Promoting Global Research Excellence in Severe Sepsis (PROGRESS): Lessons from an International Sepsis Registry

“…Following publication of these care bundles there have been a number of recent publications suggesting that the introduction of evidencebased protocols in countries around the world may improve survival [39][40][41][42][43]. A tool like PROGRESS to facilitate collection of ''real life'' data and to examine geographic variations in practice was therefore felt to be valuable, and it is perhaps in this context that our results are most relevant.…”

Inside help: An integrative review of champions in healthcare-related implementation

“…A fundamental finding that recurred across more than 80% of champion articles involved the identification of champions as one of several key factors associated with implementation success. Examples included the following: Effective leadership, the presence of a system champion, availability of technical training and support, and adequate resources are essential elements to the success of the electronic medical record (EMR) 37 A focus on patient satisfaction, the presence of a team champion, and the involvement of the physicians on the team were each consistently and positively associated with greater perceived team effectiveness 38 Contributions to success included having a protocol champion, a sepsis education program, and a nurse educator 39 Factors significantly associated with high implementation were high level of involvement from the administrator or director of nursing, high level of nurse manager participation, presence of in-house dietitian, high level of participation of staff educator and QI personnel, presence of an internal champion, and team’s openness to redesign 40 …”