Successful Development and Implementation of a Surgical Response Team for Emergent Surgical Cases

Pichoff, Amy M; Shah, Abha; Baer, John; Staab, Jared

doi:10.1097/sla.0000000000002909

Cited by 2 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The development and implementation of specific rapid response teams for intraoperative emergencies have been described with anecdotally positive outcomes, but further practice‐based research is needed in this regard 8,9 . Additionally, hospital‐wide emergency response models employing perioperative providers have been described for patients experiencing surgical, obstetric, or airway emergencies 10–12 . Such patients are frequently transferred to procedural areas and/or managed by surgeons or anesthesiologists in the emergent phase, representing additional potential targets for perioperative clinical pharmacist emergency response.…”

Section: The Role Of the Pharmacist In Perioperative Emergency Responsementioning

confidence: 99%

Perioperative medical emergencies: The role of clinical pharmacists and a review of pharmacotherapy considerations

Hyland

Wolfe

Patel

et al. 2023

J Am Coll Clin Pharm

View full text Add to dashboard Cite

Medical emergencies arising in the perioperative period can have unique etiologies, medication management, and care complexities. Clinical pharmacists have established roles and demonstrated value in resuscitative efforts elsewhere within acute care settings, but very little published description of pharmacist participation in perioperative emergency response is currently available. Furthermore, specialized clinical and operational knowledge may be needed to effectively optimize medication use during a perioperative medical crisis. This narrative review offers recommended pharmacist roles, concise pharmacotherapeutic considerations, and key resources to support clinical pharmacists in all facets of perioperative medical emergency management and preparedness. Specific medical crises discussed include malignant hyperthermia, local anesthetic systemic toxicity, intraoperative cardiac arrest, anaphylaxis, carcinoid crisis, pheochromocytoma, and vasoplegia. Additional pharmacy practice studies are needed to validate clinical pharmacists as essential members of perioperative emergency response teams and delineate their associated impact on patient outcomes in this setting.

show abstract

Section: The Role Of the Pharmacist In Perioperative Emergency Responsementioning

confidence: 99%

Perioperative medical emergencies: The role of clinical pharmacists and a review of pharmacotherapy considerations

Hyland

Wolfe

Patel

et al. 2023

J Am Coll Clin Pharm

View full text Add to dashboard Cite

show abstract

Emergency Surgical Treatment and Triage: Targeting Optimal Outcomes for Emergency Surgical Patients From Index Encounter Through Definitive Care

Kliewer,

Luque,

Javier

et al. 2024

The American Surgeon™

View full text Add to dashboard Cite

Background Patients with emergency surgical conditions (ESCs) experience higher complication rates than those without emergency conditions. Our purpose was to improve time-based key performance indicators (KPIs) of care for ESC patients, including diagnostic workup, empiric stabilization, and referral to definitive care. Methods A rapid response program (ESTAT) was developed to screen for and coordinate optimal, timely care for a spectrum of high-risk ESCs, from the patient’s index clinical encounter up to definitive care. The Mann-Whitney test assessed whether any differences in KPIs were statistically significant ( P < .05) before compared to after the implementation of ESTAT. Results 98 patients were identified: 44 in ESTAT group (70% age ≥55, 57% male); 54 in control group (57% age ≥55, 44% male). There were significant decreases from time of index clinical encounter to resuscitation (5 min. vs 34 min., P < .001), to diagnostic imaging (52 min. vs 1 hr. 19 min., P = .004), and to definitive care (2 hr. 17 min. vs 3 hr. 51 min., P = .007) in the ESTAT group compared to the control group, respectively. Discussion Improving time-based KPIs for delivery of clinical services is a common goal of medical emergency response systems (MERS) in numerous specialties. Implementation of an ESTAT program provides a screening tool for at-risk patients and reduces time to stabilize, diagnose and triage to definitive surgical intervention. These time benefits may ultimately translate to reduced complication rates for ESC patients. ESTAT may also represent a patient onboarding mechanism for surgical specialty verification programs promoted by quality improvement committees of various professional societies.

show abstract

Successful Development and Implementation of a Surgical Response Team for Emergent Surgical Cases

Cited by 2 publications

References 9 publications

Perioperative medical emergencies: The role of clinical pharmacists and a review of pharmacotherapy considerations

Perioperative medical emergencies: The role of clinical pharmacists and a review of pharmacotherapy considerations

Emergency Surgical Treatment and Triage: Targeting Optimal Outcomes for Emergency Surgical Patients From Index Encounter Through Definitive Care

Contact Info

Product

Resources

About