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The Impact of Delayed RRS Activation

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Abstract

Modern hospitals service patients of increasing complexity and co-morbidity.1 Despite advances in technology and the best efforts of hospital staff, several studies have demonstrated that 6–17% of all hospital admissions are complicated by serious adverse events.2–8 These events are often unrelated to the patient’s underlying medical condition and in approximately 10% of cases they will result in permanent disability and even death.

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References

  1. Zajac JD. The public hospital of the future. Med J Aust. 2003;179:250–2.

    PubMed  Google Scholar 

  2. Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349:309–13.

    Article  CAS  PubMed  Google Scholar 

  3. Baker GR, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170:1678–86.

    PubMed  Google Scholar 

  4. Brennan TA, Leape LL. Adverse events, negligence in hospitalized patients: results from the Harvard Medical Practice Study. Perspect Health Risk Manage. 1991;11:2–8.

    Article  CAS  PubMed  Google Scholar 

  5. Davis P, Lay-Yee R, Briant R, Ali W, Scott A, Schug S. Adverse events in New Zealand public hospitals I: occurrence and impact. N Z Med J. 2002;115:U271.

    PubMed  Google Scholar 

  6. Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324:377–84.

    Article  CAS  PubMed  Google Scholar 

  7. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ. 2001;322:517–9.

    Article  CAS  PubMed  Google Scholar 

  8. Wilson RM, Runciman WB, Gibberd RW, Harrison BT, Newby L, Hamilton JD. The Quality in Australian Health Care Study. Med J Aust. 1995;163:458–71.

    CAS  PubMed  Google Scholar 

  9. Bell MB, Konrad D, Granath F, Ekbom A, Martling CR. Prevalence and sensitivity of MET criteria in a Scandinavian University Hospital. Resuscitation. 2006;70:66–73.

    Article  PubMed  Google Scholar 

  10. Buist MD, Jarmolowski E, Burton PR, Bernard SA, Waxman BP, Anderson J. 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;171:22–5.

    CAS  PubMed  Google Scholar 

  11. Hodgetts TJ, Kenward G, Vlachonikolis IG, Payne S, Castle N. The identification of risk factors for cardiac arrest and formulation of activation criteria to alert a medical emergency team. Resuscitation. 2002;54:125–31.

    Article  PubMed  Google Scholar 

  12. Hodgetts TJ, Kenward G, Vlackonikolis I, et al. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation. 2002;54:115–23.

    Article  PubMed  Google Scholar 

  13. Blow O, Magliore L, Claridge JA, Butler K, Young JS. The golden hour and the silver day: detection and correction of occult hypoperfusion within 24 hours improves outcome from major trauma. J Trauma. 1999;47:964–9.

    Article  CAS  PubMed  Google Scholar 

  14. Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345:1368–77.

    Article  CAS  PubMed  Google Scholar 

  15. Fresco C, Carinci F, Maggioni AP, et al. Very early assessment of risk for in-hospital death among 11,483 patients with acute myocardial infarction. GISSI investigators. Am Heart J. 1999;138:1058–64.

    Article  CAS  PubMed  Google Scholar 

  16. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995;333:1581–7.

    Google Scholar 

  17. England K, Bion JF. Introduction of medical emergency teams in Australia and New Zealand: a multicentre study. Crit Care. 2008;12:151.

    Article  PubMed  Google Scholar 

  18. Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV. Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ. 2002;324:387–90.

    Article  PubMed  Google Scholar 

  19. Jones, D, Opdam H, Egi M, et al. Long-term effect of a Medical Emergency Team on mortality in a teaching hospital. Resuscitation. 2007;74:235–41.

    Article  PubMed  Google Scholar 

  20. Jones D, McIntyre T, Baldwin I, Mercer I, Kattula A, Bellomo R. The Medical Emergency Team and End-of-Life care: A pilot study. Crit Care Resus. 2007;9:151–156.

    Google Scholar 

  21. Downey AW, Quach JL, Haase M, Haase-Fielitz A, Jones D, Bellomo R. Characteristics and outcomes of patients receiving a medical emergency team review for acute change in conscious state or arrhythmias. Crit Care Med. 2008;36:477–81.

    Article  PubMed  Google Scholar 

  22. Quach JL, Downey AW, Haase M, Haase-Fielitz A, Jones D, Bellomo R. Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. J Crit Care. 2008;23:325–31.

    Article  PubMed  Google Scholar 

  23. Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team system: a cluster-randomised controlled trial. Lancet. 2005;365(9477):2091–7.

    Article  PubMed  Google Scholar 

  24. Jones D, Baldwin I, McIntyre T, Nurses’ attitudes to a medical emergency team service in a teaching hospital. Qual Saf Health Care. 2006;15:427–32.

    Article  CAS  PubMed  Google Scholar 

  25. Jones DA, Mitra B, Barbetti J, Choate K, Leong T, Bellomo R. Increasing the use of an existing medical emergency team in a teaching hospital. Anaesth Intensive Care. 2006;34:731–5.

    CAS  PubMed  Google Scholar 

  26. Foraida MI, DeVita MA, Braithwaite RS, Stuart SA, Brooks MM, Simmons RL. Improving the utilization of medical crisis teams (Condition C) at an urban tertiary care hospital. J Crit Care. 2003;18:87–94.

    Article  PubMed  Google Scholar 

  27. Casamento AJ, Dunlop C, Jones DA, Duke G. Improving the documentation of medical emergency team reviews. Crit Care Resusc. 2008;10:29.

    PubMed  Google Scholar 

  28. Buist M, Harrison J, Abaloz E, Van Dyke S. Six-year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ. 2007;335(7631):1210–1212.

    Article  PubMed  Google Scholar 

  29. Cretikos MA et al. Respiratory rate: the neglected vital sign. Med J Aust. 2008;188(11):657–659.

    PubMed  Google Scholar 

  30. Jones D et al. Patient monitoring and the timing of cardiac arrests and medical emergency team calls in a teaching hospital. Intensive Care Med. 2006;32(9):1352–1356.

    Article  PubMed  Google Scholar 

  31. McQuillan P et al. Confidential inquiry into quality of care before admission to intensive care. BMJ. 1998;316(7148):1853–1858.

    CAS  PubMed  Google Scholar 

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Correspondence to Daryl Jones .

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Jones, D., Haase, M., Bellomo, R. (2011). The Impact of Delayed RRS Activation. In: DeVita, M., Hillman, K., Bellomo, R. (eds) Textbook of Rapid Response Systems. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92853-1_17

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  • DOI: https://doi.org/10.1007/978-0-387-92853-1_17

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