To the Editor Dr Singer and colleagues1 reevaluated and updated the definitions of sepsis and septic shock using literature reviews, Delphi surveys of experts, and studies of several large databases. Despite some improvements, such as easier-to-use terms (ie, sepsis rather than severe sepsis) and development of the quick Sequential Organ Failure Assessment (qSOFA) score, a rapid bedside score without blood tests, we have several concerns.