ABSTRACT

Introduction

As sepsis is a life-threatening disease, appropriate measures should be started as soon as possible after diagnosis. Duration until first therapy affects survival. However, guideline adherence of primary sepsis care is often low. Dedicated sepsis response teams (SRT) may improve primary sepsis care.

Areas covered

PubMed was searched for studies investigating the effect of an implementation of SRTs. This review discusses the results of five studies presenting results before and after implementation of SRTs. The importance of choosing the alert and the right team composition of the SRT is also discussed.

Expert opinion

Implementing SRTs is associated with a better compliance with guidelines regarding primary sepsis care and with a reduction in hospital mortality. However, scientific evidence of the studies is limited due to chosen study design. SRTs can be a strong method to improve primary sepsis care in specific hospital settings if the pros and cons against the other measures of quality improvement are considered and the technical details such as alerts and team members are customized to the individual hospital setting.

中文翻译：

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医院专用败血症应对小组的重要性。

摘要

介绍

由于败血症是威胁生命的疾病，因此应在诊断后尽快采取适当措施。直到第一次治疗的持续时间都会影响生存。但是，原发性败血症护理的指南依从性通常很低。专门的败血症反应小组（SRT）可以改善主要的败血症护理。

覆盖区域

在PubMed中搜寻了研究SRT实施效果的研究。这篇评论讨论了五项研究的结果，这些研究提出了在实施SRT之前和之后的结果。还讨论了选择警报和SRT正确的团队组成的重要性。

专家意见

实施SRT与更好地遵守有关主要败血症护理的准则以及降低医院死亡率相关。但是，由于选择了研究设计，因此研究的科学证据有限。如果考虑到其他质量改进措施的利弊，并且针对警报和团队成员等技术细节是针对各个医院设置的，则SRT可以是在特定医院设置中改善主要败血症护理的有效方法。