Association between time of day for rapid response team activation and mortality

Boniatti, Márcio Manozzo; Loreto, Melina Silva de; Mazzutti, Geris; Benedetto, Igor Gorski; John, Josiane França; Zorzi, Lia Andrade; Prestes, Marcius Conceição; Viana, Marina Verçoza; Santos, Moreno Calcagnotto dos; Buttelli, Thais C.D.; Nedel, Wagner Luís; Nunes, Diego Silva Leite; Barcellos, Guilherme Brauner; Neyeloff, Jeruza Lavanholi; Dora, José Miguel Silva; Lisboa, Thiago

doi:10.1016/j.jcrc.2023.154353

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…It is essential for healthcare providers in this field to be knowledgeable, skilled, and prepared to respond promptly and effectively to cardiopulmonary arrest emergencies [13]. By staying updated on the latest guidelines and practicing interdisciplinary collaboration, healthcare teams can strive towards optimizing outcomes and ensuring the safety of their patients [14].…”

Section: Introductionmentioning

confidence: 99%

Determine the Vital Sign Observations that can Detect Signs of Cardiopulmonary Arrest in Patients Receiving Internal Medicine Care

Khan,

Maqsood,

Ijaz

et al. 2023

PJMHS

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Background: In certain hospitals, the Medical Emergency Team (MET) has undergone development to provide prompt and efficient treatment, effectively preventing cardiac arrests. Our objective was to assess the efficiency of observational practices in identifying anomalies in vital signs before cardiac arrest and to evaluate the requirement for implementing a MET system in hospitals across Punjab. Methods: We conducted a comprehensive review of patient charts from four hospitals, specifically focusing on individuals who experienced cardiac arrest over a span of 12 months. We meticulously documented and analyzed the vital signs, symptoms, and interventions that occurred within the 12 hours leading up to the cardiac arrest, comparing them against the trigger criteria established by the Medical Emergency Team (MET). Results: Throughout the designated study period, a total of 130 patients experienced cardiac arrest while in hospitals, with 68 cases (52%) occurring on the wards. Among these patients, 34 individuals (41%) displayed abnormal vital signs that met the criteria established by the Medical Emergency Team (MET). These abnormalities were documented, on average, 3.7 hours prior to the cardiac arrest event. Notably, during this timeframe, 14 patients did not receive any form of intervention, such as supplemental oxygen or medication. Among the remaining patients, nine received intervention within 2 hours, while nine others received intervention after more than 1 hour. It is important to mention that none of the patients responded to the initial intervention. However, only one patient required subsequent re-interventions. Practical Implication: It is essential for healthcare providers in this field to be knowledgeable, skilled, and prepared to respond promptly and effectively to cardiopulmonary arrest emergencies. By staying updated on the latest guidelines and practicing interdisciplinary collaboration, healthcare teams can strive towards optimizing outcomes and ensuring the safety of their patients. Conclusion: There is a prevalent occurrence of notable physiological decline in the hours leading up to cardiac arrests within the wards of Punjab hospitals, indicating the potential value in implementing a Medical Emergency Team (MET) system. However, in order to fully capitalize on the benefits of a MET, it is crucial to enhance the practice of vital sign observation by the nursing staff. Keywords: Medical Emergency Team (MET), cardiac arrests, Internal Medicine.

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Section: Introductionmentioning

confidence: 99%

Determine the Vital Sign Observations that can Detect Signs of Cardiopulmonary Arrest in Patients Receiving Internal Medicine Care

Khan,

Maqsood,

Ijaz

et al. 2023

PJMHS

View full text Add to dashboard Cite

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Characteristics and outcomes of patients screened by the rapid response team and transferred to intensive care unit in South Korea

Nam,

Kang,

Hong

et al. 2024

Sci Rep

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The rapid response system (RRS) is associated with a reduction in in-hospital mortality. This study aimed to determine the characteristics and outcomes of patients transferred to the intensive care unit (ICU) by a rapid response team (RRT). This retrospective, multicenter cohort study included patients from nine hospitals in South Korea. Adult patients who were admitted to the general ward (GW) and required RRS activation were included. Patients with do-not-resuscitate orders and without lactate level or Sequential Organ Failure Assessment score were excluded. A total of 8228 patients were enrolled, 3379 were transferred to the ICU. The most common reasons for RRT activation were respiratory distress, sepsis and septic shock. The number of patients who underwent interventions, the length of hospital stays, 28-day mortality, and in-hospital mortality were higher in the ICU group than in the GW group. Factors that could affect both 28-day and in-hospital mortality included the severity score, low PaO 2 /FiO 2 ratio, higher lactate and C-reactive protein levels, and hospitalization time prior to RRT activation. Patients admitted to the ICU after RRT activation generally face more challenging clinical situations, which may affect their survival outcomes. Supplementary Information The online version contains supplementary material available at 10.1038/s41598-024-75432-y.

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Workspace Layout for Resilient Performance using Social Network Analysis: A Case Study

Fogliatto,

Saurin,

Tortorella

et al. 2024

HERD

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Purpose: To present the social network analysis-based approach used to create a new workspace layout for three hospital services as part of a campus expansion at a large tertiary care public hospital. Objective: To analyze the relationships among service members across four healthcare resilience abilities (monitor, anticipate, respond, and learn) and utilize network metrics to indicate the suitability of a shared workspace layout for the services. Background: The hospital expanded by 70%, providing space for relocating key services—the rapid response team, medical on-call team, and nursing supervision. Initial observations suggested a shared workspace layout based on anecdotal evidence. Method: Stakeholders have reached a consensus on a three-stage process to assess the suitability of a shared workspace layout for these services: first, collecting data on social interactions with a focus on resilience abilities; second, presenting layout alternatives based on sociograms; and third, evaluating these alternatives and devising a strategy for allocating personnel to shifts based on a resilience score derived from social network metrics. Case Study: The examination of social network metrics allowed identifying key individuals contributing to the overall resilience of the three services. Sociograms provided visual representations of how these individuals were spatially distributed within the shared layout. Discussion: The process was designed to shape a resilient layout and incorporated initial data, preferences, and constraints into layout proposals. Additionally, it utilized a resilience score from existing literature to formulate a strategy for staff allocation to shifts, ensuring consistent collective resilience ability across all shifts.

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Association between time of day for rapid response team activation and mortality

Cited by 4 publications

References 20 publications

Determine the Vital Sign Observations that can Detect Signs of Cardiopulmonary Arrest in Patients Receiving Internal Medicine Care

Determine the Vital Sign Observations that can Detect Signs of Cardiopulmonary Arrest in Patients Receiving Internal Medicine Care

Characteristics and outcomes of patients screened by the rapid response team and transferred to intensive care unit in South Korea

Workspace Layout for Resilient Performance using Social Network Analysis: A Case Study

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