Successful Implementation of a Rapid Response System in the Department of Internal Medicine / 대한구급학회지
The Korean Journal of Critical Care Medicine
; : 77-82, 2014.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-655212
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND:
A rapid response system (RRS) aims to prevent unexpected patient death due to clinical errors and is becoming an essential part of intensive care. We examined the activity and outcomes of RRS for patients admitted to our institution's department of internal medicine.METHODS:
We retrospectively reviewed patients detected by the RRS and admitted to the medical intensive care unit (MICU) from October 2012 through August 2013. We studied the overall activity of the RRS and compared patient outcomes between those admitted via the RRS and those admitted conventionally.RESULTS:
A total of 4,849 alert lists were generated from 2,505 medical service patients. The RRS was activated in 58 patients A (Admit to ICU), B (Borderline intervention), C (Consultation), and D (Do not resuscitate) in 26 (44.8%), 21 (36.2%), 4 (6.9%), and 7 (12.1%) patients, respectively. Low oxygen saturation was the most common criterion for RRS activation. MICU admission via the RRS resulted in a shorter ICU stay than that via conventional admission (6.2 vs. 9.9 days, p = 0.018).CONCLUSIONS:
An RRS can be successfully implemented in medical services. ICU admission via the RRS resulted in a shorter ICU stay than that via conventional admission. Further study is required to determine long-term outcomes.
Texto completo:
Disponible
Contexto en salud:
Agenda de Salud Sostenible para las Américas
Problema de salud:
Objetivo 7: Evidencia y conocimiento en materia de salud
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Oxígeno
/
Estudios Retrospectivos
/
Cuidados Críticos
/
Equipo Hospitalario de Respuesta Rápida
/
Unidades de Cuidados Intensivos
/
Medicina Interna
Tipo de estudio:
Estudio observacional
Límite:
Humanos
Idioma:
Inglés
Revista:
The Korean Journal of Critical Care Medicine
Año:
2014
Tipo del documento:
Artículo