Sepsis guideline implementation: benefits, pitfalls and possible solutions

Kissoon, Niranjan

doi:10.1186/cc13774

Cited by 27Sepsis Diagnosis and TreatmentClinical practice guidelines implementationHealth Policy Implementation Science

The DOI matches its Crossref record; 34 of the 35 references it cites were found in a registry or an index.

Sepsis guideline implementation: benefits, pitfalls and possible solutions

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Kissoon, Niranjan·2014·Critical Care

DOI 10.1186/cc13774PMC PMC4055980

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Abstract

Clinical practice guidelines are useful in improving quality of care and outcomes, reducing inappropriate variation in practice, promoting efficient use of resources, informing and empowering patients and informing public policy. However, difficulties arise when guidelines are poorly introduced into routine daily practice and, as a consequence, many patients do not receive the care intended or receive harmful or unnecessary care.

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Reasons for low compliance with sepsis care include the lack of a gold standard for sepsis diagnosis and the difficulty of rapidly mobilizing resources needed to treat individuals suspected of having sepsis.
“The reasons for low compliance include the lack of a gold standard for sepsis diagnosis and the difficulty of rapidly mobilizing resources needed to treat individuals suspected of having sepsis [15,16].”
From Integrating a Machine Learning System Into Clinical Workflows: Qualitative Study (2020) · cites this paper as [15]
The 'Reasons for poor adherence' and 'Obstacles and solutions in implementation' sections identify failure to recognize sepsis and shortages of time, staff, and treatment resources as barriers to compliance (page numbers unavailable). They do not say that the lack of a gold standard for sepsis diagnosis is a reason for low compliance. (LLM, conf=0.86)
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Authors: Kissoon, N.
Affiliations: BC Children's Hospital (CA)
Corresponding author: Kissoon, Niranjan
ORCID: Kissoon, Niranjan
Venue: Critical Care
Publisher: Springer Science and Business Media LLC
Published: 2014-03-18
Volume: 18
Issue: 2
Pages: 207-207
ISSN: 1364-8535 (ISSN-L)
DOI: 10.1186/cc13774
PMC: PMC4055980
OpenAlex: W2169837119
Cited by: 25
References: 35
Citations by year: 2026: 4 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 3 · 2015: 1
FWCI: 0.40
Type: journal article
Language: en
Open access: gold
doi.org
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Critical Care (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Sepsis Diagnosis and Treatment
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords: sepsis, guideline implementation, implementation barriers, quality of care, unnecessary care
MeSH terms: Humans, Practice Guidelines as Topic, Sepsis, Guideline Adherence

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Sepsis guideline implementation: benefits, pitfalls and possible solutions

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