快速反应小组
医学
审计
描述性统计
介绍
患者安全
家庭医学
医疗保健
医疗急救
预警得分
病历
焦点小组
急诊医学
护理部
内科学
统计
业务
数学
管理
营销
经济
经济增长
作者
Alexandra Shiell,Margaret Fry,Doug Elliott,Rosalind Elliott
标识
DOI:10.1016/j.iccn.2022.103294
摘要
Avoidable in-patient clinical deterioration results in serious adverse events and up to 80% are preventable. Rapid response systems allow early recognition and response to clinical deterioration.To explore the characteristics of a collaborative rapid response team model.Dual methodology was used for this descriptive study.The study was conducted in a 500-bed tertiary referral hospital (Sydney, Australia).Inpatients (>17 years) who received a rapid response team activation were included in an electronic medical audit. Participants were rapid response team members and nurses and medical doctors in two in-patient wards.A 12-month (January-December 2018) retrospective electronic health record audit and semi-structured interviews with nurses and medical doctors (July-August 2019) were conducted. Descriptive statistics summarised audit data. Interviews were transcribed and analysed thematically.The rapid response team consulted for 2195 patients. Mean patient age was 67.9 years, and 46% of the sample was female. Activations (n = 4092) occurred most often in general medicine (n = 1124, 70.8%) units. Overall, 117 patients had >5 activations. The themes synthesised from interviews were i) managing patient deterioration before arrival of the rapid response team; ii) collaboratively managing patient deterioration at the bedside; iii) rapid response team guidance at the bedside; and iv) 'staff concern' rapid response activation.Some patients received many activations, however few required treatment in critical care. The rapid response model was collaborative and supportive. The themes revealed a focus on patient safety, optimising early detection, and management of patient deterioration.
科研通智能强力驱动
Strongly Powered by AbleSci AI