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https://hdl.handle.net/2440/62807
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dc.contributor.author | Chen, J. | - |
dc.contributor.author | Bellomo, R. | - |
dc.contributor.author | Hillman, K. | - |
dc.contributor.author | Flabouris, A. | - |
dc.contributor.author | Finfer, S. | - |
dc.date.issued | 2010 | - |
dc.identifier.citation | Journal of Critical Care, 2010; 25(2):1-7 | - |
dc.identifier.issn | 0883-9441 | - |
dc.identifier.issn | 1557-8615 | - |
dc.identifier.uri | http://hdl.handle.net/2440/62807 | - |
dc.description.abstract | <h4>Purpose</h4>The purpose of the study was to examine triggers for emergency team activation in hospitals with or without a medical emergency team (MET) system.<h4>Materials and methods</h4>Within a cluster randomized controlled trial examining the effect of introducing a MET system, we recorded the triggers for emergency team activation. We compared the proportion and rate of such triggers in hospitals with or without a MET system and in relation to type of hospital, type of patient ward, and time of day.<h4>Results</h4>In control hospitals, the most common trigger for emergency team activation was a decrease in Glasgow Coma Score by 2 or more points (45.6%), whereas in MET hospitals, it was the fact that staff members were "worried" or the call occurred despite the lack of a "specified reason" (39.3%). In particular, MET hospitals were 35 times more likely to make a call because of staff being "worried" about the patient (14.1% vs 0.4%, P < .001). Control hospitals were also significantly more likely to call an emergency team because of a deteriorating respiratory (P = .003) or pulse (P < .001) rate, more calls had at least 3 triggers for activation (20.8% vs 10.2%, P = .036), and the average number of triggers per call was significantly higher (P = .013). Nonmetropolitan hospitals were more likely to call an emergency team because of respiratory rate abnormalities (33.6% vs 23.2%, P = .015). Coronary care unit calls were more likely to be triggered by abnormalities in pulse rate and systolic blood pressure, and more calls occurred during the period from 6:00 am to noon.<h4>Conclusions</h4>In MET hospitals, more emergency team calls are triggered because staff members are worried about the patient; and fewer calls have multiple triggers. Type of hospital, type of ward, and time of day also affect the nature and frequency of triggers for emergency team activation. | - |
dc.description.statementofresponsibility | Jack Chen, Rinaldo Bellomo, Ken Hillman, Arthas Flabouris, Simon Finfer, the MERIT Study Investigators for the Simpson Centre and the ANZICS Clinical Trials Group | - |
dc.language.iso | en | - |
dc.publisher | W B Saunders Co | - |
dc.rights | Copyright © 2010 Elsevier Inc. All rights reserved. | - |
dc.source.uri | http://dx.doi.org/10.1016/j.jcrc.2009.12.011 | - |
dc.subject | Medical emergency team | - |
dc.subject | Rapid response system | - |
dc.subject | Rapid response team | - |
dc.subject | Critical care | - |
dc.title | Triggers for emergency team activation: A multicenter assessment | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1016/j.jcrc.2009.12.011 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Flabouris, A. [0000-0002-1535-9441] | - |
Appears in Collections: | Anaesthesia and Intensive Care publications Aurora harvest 5 |
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