Surviving Sepsis — Practice Guidelines, Marketing Campaigns, and Eli Lilly
Top Cited Papers
- 19 October 2006
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 355 (16) , 1640-1642
- https://doi.org/10.1056/nejmp068197
Abstract
Practice guidelines approved by expert panels are intended to standardize care in such a way as to improve health outcomes. In recent years, the developers of such standards have started grouping evidence-based interventions into “bundles,” on the theory that inducing physicians to follow multiple recommendations written into a single protocol has a measurable effect on patients' outcomes. As a side effect, bundled performance measures are ready-made for use in pay-for-performance initiatives, which can base reimbursement on compliance with all the components.Unfortunately, the development of such clusters is vulnerable to manipulation for inappropriate — and possibly harmful — ends. Seeing . . .Keywords
This publication has 2 references indexed in Scilit:
- Sepsis change bundles: Converting guidelines into meaningful change in behavior and clinical outcomeCritical Care Medicine, 2004
- Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shockCritical Care Medicine, 2004