Impact of a standardized rapid response system on outcomes in a large healthcare jurisdiction

Chen, Jack; Ou, Lixin; Flabouris, Arthas; Hillman, Ken; Bellomo, Rinaldo; Parr, Michael

doi:10.1016/j.resuscitation.2016.07.240

Cited by 54 publications

(45 citation statements)

References 22 publications

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“…A population study of all 232 public hospitals in NSW between 2007 and 2013 revealed significant reductions in mortality indicators over the period of standardized observation charts (Chen et al . ). A large UK study of over 19 000 MET calls in one centre revealed decreasing mortality over 12 years (Herod et al .…”

Section: Discussionmentioning

confidence: 97%

“…Most studies have retrospectively reported system‐wide analyses on an all‐hospital basis with recent evidence that MET interventions reduce morbidity and mortality in hospital patients (Chen et al . ; Winters et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…A search of the literature failed to identify any study of identification and/or management of hospital patients' with mental illness with acute physiological deterioration for comparison with the current results. Most studies have retrospectively reported system-wide analyses on an all-hospital basis with recent evidence that MET interventions reduce morbidity and mortality in hospital patients (Chen et al 2016;Winters et al 2013). A population study of all 232 public hospitals in NSW between 2007 and 2013 revealed significant reductions in mortality indicators over the period of standardized observation charts (Chen et al 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Many countries have instituted policies that support clinician training on the basis that multidisciplinary clinical teams can provide urgent medical review at the patients’ bedside and thus reduce morbidity (Chen et al . ; Winters et al . ).…”

Section: Introductionmentioning

confidence: 99%

“…Physiological instability is known to often precede more serious anomalies, and thus, the aim was to identify and ameliorate problems early, and prevent further deterioration ). Many countries have instituted policies that support clinician training on the basis that multidisciplinary clinical teams can provide urgent medical review at the patients' bedside and thus reduce morbidity (Chen et al 2016;Winters et al 2013). These Medical Emergency Teams (MET) or rapid response (RR) teams are generalist and differ from cardiac resuscitation teams that manage patients' cardiac risk/collapse.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Physical deterioration in an acute mental health unit: A quantitative retrospective analysis of medical emergencies

Porter

Cant

Missen

et al. 2018

Int J Mental Health Nurs

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Nursing management of physical deterioration of patients within acute mental health settings is observed, recorded, and actively managed with the use of standardized Adult Deterioration Detection System (ADDS) charts. Patient deterioration may require the urgent assistance of a hospital rapid response or Medical Emergency Team. A five-and-a-half-year (2011-2016) audit of hospital-wide Medical Emergency Team attendances was conducted in an acute mental health unit of a single large 250 bed regional hospital in Victoria, Australia. Data were extracted from the hospitals' quality and patient safety program, RISKMan, and entered into a statistical data program for analysis. A total of 140 patient records were analysed, and the 'Worried' category (34%, n = 47) was the principle reason for a Medical Emergency Team call in a mental health ward, followed by hypotension (23%, n = 31) and a low Glasgow Coma Score (16%, n = 22). Upon further investigation of the 'Worried' category, the most common conditions recorded were an altered conscious state (22%, n = 9), low oxygen saturation (20%, n = 8), or chest pain (17%, n = 7). Activation of Medical Emergency Team calls predominantly occurred in the daylight morning hours (6am-12md). When data were compared to the general hospital patients, the context of the physiological deterioration of the mental health patients was strikingly similar. Further research is recommended to ascertain the extent and frequency with which staff working in mental health units are performing vital signs monitoring as an essential component of detection of early signs of physiological deterioration.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%