• Ana Laguna-Pérez, Elisa Chilet-Rosell, Miguel Delgado Lacosta, Carlos Alvarez-Dardet, Joaquín Uris Selles, and Carmen Luz Muñoz-Mendoza.
• Departamento de Enfermería, Facultad de Ciencias de Salud, Universidad de Alicante, Spain. ana.laguna@ua.es
• Rev Lat Am Enfermagem. 2012 Jul 1;20(4):635-43.

AbstractThe purpose of this quasi-experimental study was to assess levels of compliance with the intervention bundles contained in a clinical pathway used in the treatment of patients with severe sepsis and septic shock, and to analyze the pathway's impact on survival and duration of hospital stays. We used data on 125 patients in an Intensive Care Unit, divided into a control group (N=84) and an intervention group (N=41). Levels of compliance increased from 13.1% to 29.3% in 5 resuscitation bundle interventions and from 14.3% to 22% in 3 monitoring bundle interventions. In-hospital mortality at 28 days decreased by 11.2% and the duration of hospital stay was reduced by 5 days. Although compliance was low, the intervention enhanced adherence to the instructions given in the clinical pathway and we observed a decline in mortality at 28 days and shorter hospital stays.

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