The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration
作者： Julie Considine , Jen Rawet , Judy Currey
DOI: 10.1016/J.AENJ.2015.07.001
关键词: Emergency nursing 、 Rapid response system 、 Emergency medical services 、 Cross-sectional study 、 Emergency medicine 、 Abdominal pain 、 Emergency department 、 Medicine 、 Retrospective cohort study 、 Chest pain
摘要: Summary Background Despite emerging evidence regarding clinical deterioration in emergency department (ED) patients, the widespread uptake of rapid response systems (RRS) EDs has been limited. Aims To evaluate effect an ED RRS on reporting and determine if there were differences between patients who did, did not, deteriorate during care. Methods A retrospective cross sectional design was used to conduct this single site study Melbourne, Australia. Stratified random sampling identified 50 with shortness breath, chest pain or abdominal per each year studied (2009–2012) giving a total 600 patients. The intervention implemented stages. Results frequency 14.8% (318 episodes/89 patients). Unreported decreased (86.7%; 68.8%; 55.3%; 54.0%, p =0.141). Patients deteriorated care had longer median length stay (2.8h; =0.044). Conclusions staged specific unreported deterioration. Controlled multi-site studies RRSs are needed examine formal patient outcomes.
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