Rivers' randomized clinical trial showed that early goal-directed therapy improves patient outcome in severe sepsis and septic shock . The findings were confirmed by multicenter international prospective observational studies [2, 3]. In our institution, we implemented a Quality Improvement Project based on daily auditing of patients admitted to a medical intensive care unit (MICU) for severe sepsis/septic shock followed by weekly feedback on compliance of the Institute for Healthcare Improvement (IHI) resuscitation bundle, and Sepsis Response Team (SRT) activation . Once the Quality Improvement Project was completed, the daily audit and weekly feedback were stopped. This study aims to assess the impact of this change on the process of care and hospital mortality.