The epidemiology of rapid response team activation amongst patients undergoing major gastrointestinal surgery

Improving risk stratification and decision support for deteriorating hospital patients

“…Many institutions now have well-established databases that allow determination of which hospitalised patients are at increased risk of rapid response team review. [18][19][20][21][22] In addition, several investigators have attempted to evaluate associations with worse patient outcomes following rapid response team review, including repeat calls and subsequent ICU admission. [23][24][25] In an effort to identify patients at risk of poor outcomes and needing enhanced care following a MET review, in this edition of the journal, Batterbury and colleagues 26 describe a retrospective cohort study with 1500 adult patients who remained on the ward following a MET call at an Australian quaternary hospital.…”

“…Thus, while rapid response teams have improved the outcomes of hospitalised patients, there is a need to develop systems and processes to further improve patient outcomes. Many institutions now have well-established databases that allow determination of which hospitalised patients are at increased risk of rapid response team review 18–22. In addition, several investigators have attempted to evaluate associations with worse patient outcomes following rapid response team review, including repeat calls and subsequent ICU admission 23–25…”

The medical emergency team — current status and future directions: a perspective for acute care physicians

“…Several studies have been conducted to predict which patients are likely to require a MET call to guide the development of strategies that are more proactive in nature. [35][36][37][38] Currently, MET criteria are relatively sensitive but not specific. Thus, only 20% of patients will be admitted to the ICU following MET review.…”

“…A further future goal will be increased use of the electronic health care record and MET databases to improve understanding and management of deteriorating patients. Several studies have been conducted to predict which patients are likely to require a MET call to guide the development of strategies that are more proactive in nature 35–38 . Currently, MET criteria are relatively sensitive but not specific.…”