Abstract
To the Editors: The Surviving Sepsis guidelines 1 highlighted a need to improve clinical standards for the management of severe sepsis and septic shock within the Nottingham University Hospitals NHS Trust (Nottingham, UK). We formed a multi-directorate task group to conduct a near real-time retrospective gap analysis of all adults with significant positive blood cultures of a pathogenic organism within the Queen's Medical Centre (Nottingham), between November 1, 2005 and March 31, 2006. The design, objectives and outcomes have been described previously 2. Patients were included if they met the criteria for severe sepsis or septic …
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