Margaret M. Parker, MD, MCCM, and Mitchell M. Levy, MD, MCCM discuss the Hour-1 Bundle, the controversies of the Surviving Sepsis Campaign, and the future of sepsis. Drs. Parker and Levy go beyond the bundle to talk about the challenges of the Campaign from data entry to resistance from physicians, sepsis in resource limited countries, and spreading quality improvement worldwide. Dr. Levy is professor of medicine and chief of pulmonary and critical care at Brown University in Providence, Rhode Island, USA.

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