Statistics of rapid response team's work in the training and research hospital of Ordu between 2010-2013: A retrospective study.

Abstract

The rapid response system is an emergency intervention that is organized in order to guarantee basic life support in hospitals. In this study, we aimed to evaluate the patient profile and the results of intervention by retrospectively scanning the rapid response calls in Ordu University Training and Research Hospital between 01/10/2010 -31/12/2013. Female patients comprised 44.9%, with 55.1% male patients, and mean age was 74.3 ± 12.6 years. The reasons for calls were as follows: 75.5% cardiac arrest, 16.9% respiratory arrest, 6% loss of consciousness or unidentified deterioration in clinical status, 1.4% respiratory distress due to epileptic convulsion and 0.2% allergic reactions. Inpatient services placed 68.8% of the calls. Day shift calls comprised 42.5%, with 57.5% made during the night time shift and mean arrival time was 1.51 ± 0.97 minutes. Cardiopulmonary resuscitation was applied to 81.6% of the patients, mechanical ventilator support without chest compressions was provided to 10% and medical support was provided to 8.4% of the patients. Mean intervention duration was 30.6 ± 16.2 minutes. The majority, 58.1%, of the interventions ended with exitus at the first intervention stage, 10.6% of all cases were transferred to the intensive care unit after the first intervention. Since cardiovascular events constitute the majority of the rapid response calls, it is important that, as well as the rapid response team, other hospital staff should be educated in basic life support and intervention should be applied as quickly as possible. Keywords: Basic life support; rapid response system, patient safety Özet Mavi Kod ya da Hızlı Yanıt sistemi, hastanelerde temel yaşam desteği sürecinin güvence altına alınması için uygulamaya konulmuş bir acil müdahale organizasyonudur. Bu çalışmanın amacı hastanemiz Mavi Kod çağrısı verilerini geriye yönelik olarak tarayarak uygulamalarımızın etkinliğini tespit etmek ve kendi hastane profilimizi ortaya çıkarmaktı. Etik Kurul izni alındıktan sonra, hastanemizde 01/10/2010 -31/12/2013 tarihleri arasında yapılmış olan "Mavi Kod" çağrıları geriye yönelik olarak taranarak; demografik özellikler, çağrı sebepleri, olayın gerçekleştiği yer, çağrı yerine ulaşma süresi, çağrı yapılan saatler, yapılan müdahale şekli, süresi ve sonuçları gibi verilere ulaşıldı. Çalışmaya dahil edilen 652 çağrının % 44,9'u kadın, % 55,1'i erkekti ve yaş ortalamaları 74,3 ± 12,6 idi. Tüm çağrıların % 75,5'i kardiyak arrest, % 16,9'u solunum arresti, % 6'sı bilinç kaybı veya tanımlanamayan klinik durumda bozulma, % 1,4'ü epileptik konvülziyon geçirilmesine bağlı solunum sıkıntısı ve % 0,3'ü de allerjik reaksiyon gelişmesi sebebiyle yapılan çağrılar idi. Çağrıların % 68,8'i yatan hasta servislerinden, % 22,6'sı yoğun bakım ünitelerinden, % 6,7'si acil servisten, % 1,9'u da diyaliz ünitesi ve poliklinikler gibi hastanenin diğer birimlerinden gelmişti. Gelen çağrıların % 42,5'i mesai saatleri içinde, % 57,5'i ise mesai saatleri dışında gerçekleşmişti ve çağrılara ortalama ulaşma süresi 1,51 ± 0,97 dk idi. ...

Efficiency of code blue in a tertiary care hospital: A lesson we learned

“…In the literature, it is the largest hospital with 1131 sickbeds built in our country. In terms of sickbeds, it is 8.06 times bigger than the smallest hospital and 1.4 times than the proximate hospital, [4,5,10]. In only one study conducted in our country, the issue of size is discussed and the distance covered, the storeys of the building and lengths were expressed in meters [11].…”