Regular in-situ simulation training of paediatric Medical Emergency Team leads to sustained improvements in hospital response to deteriorating patients, improved outcomes in intensive care and financial savings
作者： Ulf Theilen , Laura Fraser , Patricia Jones , Paul Leonard , Dave Simpson
DOI: 10.1016/J.RESUSCITATION.2017.03.031
关键词: Median time 、 In situ simulation 、 Simulation training 、 Team training 、 Intensive care 、 Medical emergency 、 Prospective cohort study 、 Emergency medicine 、 Medicine 、 Teamwork 、 Financial savings
摘要: Abstract Aim of the study The introduction a paediatric Medical Emergency Team (pMET) was accompanied by weekly in-situ simulation team training. Key ward staff participated in training, focusing on recognition deteriorating child, teamwork and early involvement senior staff. Following an earlier [1], this investigation aimed to evaluate long-term impact ongoing regular training hospital response patients, patient outcome financial implications. Methods Prospective cohort all in-patients tertiary requiring admission intensive care (PICU) year before, 1 year after 3 years pMET Results Deteriorating patients were recognised more promptly (before/1 year after/3years pMET; median time 4/1.5/0.5 h, p Conclusion These results indicate that lessons learnt during led sustained improvements critically in-patients, significantly improved outcomes substantial savings. Integration medical emergency teams, including key staff, routine clinical has potential application acute specialties.
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