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中华重症医学电子杂志 ›› 2016, Vol. 02 ›› Issue (01) : 32 -35. doi: 10.3877/cma.j.jssn.2096-1537.2016.01.008

所属专题: 重症医学 总编推荐 指南规范 文献 指南共识

指南与共识

改善脓毒症治疗指南依从性:影响因素与应对措施
潘纯1, 邱海波1,*,*()   
  1. 1. 210009 南京,东南大学附属中大医院重症医学科
  • 收稿日期:2015-12-03 出版日期:2016-02-28
  • 通信作者: 邱海波
  • 基金资助:
    国家自然科学基金项目(81571847,81300043,81370180,81501705); 江苏省卫生厅科研项目课题(H201465,H201432)

Improving compliance of surviving sepsis campaign guidelines: Factors and solutions

Chun Pan1, Haibo Qiu1()   

  1. 1. Department of Critical Care Medicine, Zhongda Hospital Southeast University, Nanjing 210009, China
  • Received:2015-12-03 Published:2016-02-28
  • Corresponding author: Haibo Qiu
  • About author:
    Corresponding author: Qiu Haibo, Email:
引用本文:

潘纯, 邱海波. 改善脓毒症治疗指南依从性:影响因素与应对措施[J/OL]. 中华重症医学电子杂志, 2016, 02(01): 32-35.

Chun Pan, Haibo Qiu. Improving compliance of surviving sepsis campaign guidelines: Factors and solutions[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2016, 02(01): 32-35.

重症脓毒症与脓毒症性休克是常见的临床危重疾病。随着拯救重症脓毒症运动:重症脓毒症与脓毒症性休克治疗国际指南(Surviving Sepsis Campaign,SSC)的推出及在临床的实施,重症脓毒症病死率呈现逐年降低的趋势。提高SSC指南的依从性是促进指南的推广并改善重症脓毒症患者预后的重要措施,因此,SSC指南集束化治疗的流程化、核查表的实施、执行力的提高、临床团队的结构与合作和ICU资源的配比等措施是改善指南的依从性的重要手段,从而推进SSC指南在临床的广泛应用。

Severe sepsis and septic shock are common diseases in critically ill patients. With the clinical implementation of surviving sepsis campaign: International Guidelines for Management of Severe Sepsis and Septic Shock, the mortality of patients with severe sepsis has decreased year by year. The implementation of SSC guidelines has enhanced its compliance which could improve the prognosis of patients with severe sepsis. Therefore, there are several methods to improve compliance of SSC guidelines concerning work-flow management, checklist implementation, improvement of executive ability, optimization of teamwork structure, cooperation, use of ICU resources, and comprehensive measures. Thus the SSC guidelines could be widely used.

图1 影响脓毒症治疗指南依从性因素
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