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Hospital Size and Location and the Feasibility of the Medical Emergency Team

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Medical Emergency Teams

Abstract

Despite the best efforts of hospital medical and nursing staff, serious adverse events and unexpected deaths are an unfortunate facet of medicine in the modern-day hospital. Although the overall burden of such events may be higher for teaching hospitals, all medical institutions can develop a system for the identification of and care management for seriously unwell ward patients, and are likely to benefit from its introduction. This system should be tailored to meet the burden of events and to incorporate the most appropriately trained personnel available within the hospital. A somewhat imperfect system may initially be deployed, but this should not be a justification for inaction. Even an imperfect early intervention system is likely to be better than what is normally available in most institutions. The need for ongoing auditing and modification of the system cannot be overemphasized.

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References

  1. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivery to adults in the United States. N Engl J Med. 2003;348:2635–2645.

    Article  PubMed  Google Scholar 

  2. Brennan TA, Leape LL, Laird N, et al. Incidence of adverse events and negligence in hospitalised patients: results of the Harvard Medical Practice Study I. N Engl J Med. 1991;324:370–376.

    Article  PubMed  CAS  Google Scholar 

  3. Wilson RM, Runciman WB, Gibberd RW, et al. The quality in Australian health care study. Med J Aust. 1995;163:458–471.

    PubMed  CAS  Google Scholar 

  4. Bellomo R, Goldsmith D, Russell S, Uchino S. Postoperative serious adverse events in a teaching hospital: a prospective study. Med J Aust. 2002;176:216–218

    PubMed  Google Scholar 

  5. Birkmyer JD, Siewers AE, Finlayson EV, et al. Hospital volume and surgical mortality in the United States. N Engl J Med. 2002;346:1128–1137.

    Article  Google Scholar 

  6. Buist MD, Jarmolowski E, Burton PR, et al. Recognising clinical instability in hospital patients before cardiac arrest or unplanned admission to intensive care. A pilot study in a tertiary-care hospital. Med J Aust. 1999;171:22–25.

    PubMed  CAS  Google Scholar 

  7. Franklin C, Mathew J. Developing strategies to prevent in-hospital cardiac arrest: analyzing responses of physicians and nurses in the hours before the event. Crit Care Med. 1994;22:244–247.

    Article  PubMed  CAS  Google Scholar 

  8. Schein RMH, Hazday N, Pena M, et al. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990;98:1388–1392.

    PubMed  CAS  Google Scholar 

  9. Bellomo R, Goldsmith D, Uchino S, et al. A prospective before-and-after trial of a medical emergency team. Med J Aust. 2003;179:283–287.

    PubMed  Google Scholar 

  10. DeVita, Braithwaite S, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13:251–425.

    Article  PubMed  CAS  Google Scholar 

  11. Bellomo R, Goldsmith D, Uchino S, et al. Prospective controlled trial of effect of medical emergency team postoperative morbidity and mortality rates. Crit Care Med. 2004;32:916–921.

    Article  PubMed  Google Scholar 

  12. Lee A, Bishop G, Hillman KM, Daffurn K. The Medical Emergency Team. Anaesth Intensive Care. 1995;23:183–186.

    PubMed  CAS  Google Scholar 

  13. Green A. ICU liaison nurse clinical marker project. anj. 2004; Available at: http://www.anf.org.au/pdf_anj/0402_clin_update.pdf.Accessed February 5, 2005.

    Google Scholar 

  14. Daly FF, Sidney KL, Fatovich DM. The Medical Emergency Team (MET): a model for the district general hospital. Aust NZ J Med. 1998;28:795–798.

    CAS  Google Scholar 

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© 2006 Springer Science+Business Media, Inc.

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Jones, D., Bellomo, R. (2006). Hospital Size and Location and the Feasibility of the Medical Emergency Team. In: DeVita, M.A., Hillman, K., Bellomo, R. (eds) Medical Emergency Teams. Springer, New York, NY. https://doi.org/10.1007/0-387-27921-0_14

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  • DOI: https://doi.org/10.1007/0-387-27921-0_14

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-27920-6

  • Online ISBN: 978-0-387-27921-3

  • eBook Packages: MedicineMedicine (R0)

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