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sábado, 26 de mayo de 2018

Surviving Sepsis Update

Written by Thomas Davis
 Intensive Care Med. 2018 Apr 19. doi: 10.1007/s00134-018-5085-0. [Epub ahead of print]

"The Surviving Sepsis Campaign has issued a new 1-hour bundle beginning at the time of triage in the emergency department. This replaces the current 3- and 6-hour bundles...
Why does this matter?
Although the 2016 Surviving Sepsis Campaign guidelines state that “Recommendations from these guidelines cannot replace the clinician’s decision-making capacity when presented with a patient’s unique set of clinical variables,” the regulatory reality is less deferential to your clinical acumen. The Centers for Medicare and Medicaid Services (CMS) has adopted the 3- and 6-hour bundles as rigid core measures, which severely impact hospital reimbursement. Just as you may be getting used to the current bundles, you may want to read the 1-hour bundle summary below as this will likely be the new CMS standard."

 From cited article