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In today’s world, creativity and innovation are an essential part of almost every aspect of life. From art to health care, creativity and innovation play an integral role. Even in our everyday lives, we employ creative and innovative measures to trouble shoot different hindrances. Unfortunately, no single agreed-upon definition for creativity exists. The more commonly advocated description claims creativity is “to come up with something novel and useful”. Innovation, on the other hand, has been clearly defined as “Something new, or perceived new by the population experiencing the innovation that has the potential to drive change and redefine healthcare's economic and/or social potential.” [1] Creativity and innovation, usually go hand in hand and we believe that creativity is considered to be the process of developing or coming up with an end product which is ultimately labeled as “innovation.”

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Objectives The objective of the study is to determine the efficacy of Emergency Severity Index (ESI) tool in early recognition of “sepsis” and “septic shock” at the triage of an emergency room at a tertiary care hospital in Pakistan.Results A total of 240 patients were included in this study. The area under the curve (AUC) for the ESI score I for septic shock was 0.943 [0.921–0.964] with the optimal cutoff value of 2.0 with sensitivity of 88.5% and specificity of 100%. Similarly, the sensitivity and specificity of ESI score II for the diagnosis of sepsis was found to be 100.00% (CI 97.63–100.00%) and 66.28% (CI 55.28% to76.12%) with accuracy of 87.92% (83.11–91.76%)

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