Evaluation of rapid response team implementation in medical emergencies: A gallant evidence based medicine initiative in developing countries for serious adverse events.

作者: Mohammed Imran , Yash Javeri , Monika Rajani , Shadab Samad , Omender Singh

DOI: 10.4103/2229-5151.128005

关键词: Rapid response teamPatient transferSpecialtyDeveloped countryAdverse effectIntensive care unitMedicineRetrospective cohort studyMedical emergencyEmergency medicineEvidence-based medicine

摘要: Background: Rapid response team (RRT) has been implemented in developed countries with the aim of early recognition and to critical care triggers for better patient outcome. However, data concerning their efficacy is hardly available until date from Indian subcontinent. Aims: To evaluate impact RRT implementation on outcome during medical emergencies. Settings Design: Retrospective observational study records in-bed patients super specialty academic teaching hospital. Materials Methods: record forms first half year January 2012 June were included all inpatients out-patients irrespective age, gender diseases profile after inclusion system. Outcomes such as stayed room, transfer intensive unit (ICU), discharge generation code blue event, mortality length stay hospital/ICU measured. Statistical Analysis: Descriptive analysis was performed help statistical software STATA 9.0 R 2.13.2 (StataCorp LP, Lakeway Drive College Station, Texas, USA). Results: Analysis 41 calls showed decreased by 2.44% decrease 4.88%. Average ICU hospital post assistance 2.55 6.95 days respectively. Conversely percentage requiring a higher level more (75.61%) than those who rooms/wards (24.39%). Conclusion: Implementation this associated reduced events its attendant outside settings. number levels delineates need larger evidence based medicine study.

参考文章(20)
Jason Lazarou, Bruce H. Pomeranz, Paul N. Corey, Incidence of Adverse Drug Reactions in Hospitalized Patients: A Meta-analysis of Prospective Studies JAMA. ,vol. 279, pp. 1200- 1205 ,(1998) , 10.1001/JAMA.279.15.1200
Charles Vincent, Graham Neale, Maria Woloshynowych, ADVERSE EVENTS IN BRITISH HOSPITALS: PRELIMINARY RETROSPECTIVE RECORD REVIEW BMJ. ,vol. 322, pp. 517- 519 ,(2001) , 10.1136/BMJ.322.7285.517
Barbara-Ann Adelstein, Michael A. Piza, Vineet Nayyar, Yugan Mudaliar, Peter L. Klineberg, George Rubin, Rapid response systems: a prospective study of response times. Journal of Critical Care. ,vol. 26, pp. 635- ,(2011) , 10.1016/J.JCRC.2011.03.013
Roland M.H. Schein, Nelson Hazday, Maria Pena, Bradley H. Ruben, Charles L. Sprung, Clinical Antecedents to In-Hospital Cardiopulmonary Arrest Chest. ,vol. 98, pp. 1388- 1392 ,(1990) , 10.1378/CHEST.98.6.1388
Eric J. Thomas, David M. Studdert, Helen R. Burstin, E. John Orav, Timothy Zeena, Elliott J. Williams, K. Mason Howard, Paul C. Weiler, Troyen A. Brennan, Incidence and Types of Adverse Events and Negligent Care in Utah and Colorado Medical Care. ,vol. 38, pp. 261- 271 ,(2000) , 10.1097/00005650-200003000-00003
Terri M. Repasky, Catherine Pfeil, Experienced critical care nurse-led rapid response teams rescue patients on in-patient units. Journal of Emergency Nursing. ,vol. 31, pp. 376- 379 ,(2005) , 10.1016/J.JEN.2005.06.025
Paul S. Chan, Rapid Response Teams Archives of Internal Medicine. ,vol. 170, pp. 18- 26 ,(2010) , 10.1001/ARCHINTERNMED.2009.424
Susanna E. Bedell, Incidence and Characteristics of Preventable latrogenic Cardiac Arrests JAMA: The Journal of the American Medical Association. ,vol. 265, pp. 2815- 2820 ,(1991) , 10.1001/JAMA.1991.03460210061030
Donald M. Berwick, David R. Calkins, C. Joseph McCannon, Andrew D. Hackbarth, The 100 000 Lives Campaign JAMA. ,vol. 295, pp. 324- 327 ,(2006) , 10.1001/JAMA.295.3.324