Signs of critical conditions and emergency responses (SOCCER): A model for predicting adverse events in the inpatient setting

Jacques, Theresa; Harrison, G. A.; McLaws, Mary‐Louise; Kilborn, Gabrielle

doi:10.1016/j.resuscitation.2005.08.015

Cited by 137 publications

(98 citation statements)

References 21 publications

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“…One LOE P3 multicenter crosssectional survey, 542 1 LOE P2 multicenter matched casecontrol study using pooled outcomes (cardiac arrest, unplanned ICU admission, and death), 543 and 2 single-hospital retrospective case-control studies (LOE P3 544 and LOE P4 545 ) supported the ability of alterations in physiological variables, singly or in combination, to predict the occurrence of cardiac arrest. Single variables included heart rate, respiratory rate, systolic blood pressure, and decrease in level of consciousness.…”

Section: Consensus On Sciencementioning

confidence: 98%

“…One LOE P3 multicenter cross-sectional survey, 542 1 LOE P2 multicenter matched case-control study using pooled outcomes (cardiac arrest, unplanned ICU admission, and death), 543 1 LOE P3 single-institution retrospective observational study, 547 and 1 LOE P2 single-center prospective cohort study 548 suggested that for in-hospital patients, altered vital signs were associated with unplanned ICU admission. However, different criteria for ICU admission between studies make this a less useful end point.…”

Section: Consensus On Sciencementioning

confidence: 99%

See 1 more Smart Citation

Part 12: Education, Implementation, and Teams

Mancini¹,

Soar²,

Bhanji³

et al. 2010

Circulation

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Section: Consensus On Sciencementioning

confidence: 98%

Section: Consensus On Sciencementioning

confidence: 99%

Part 12: Education, Implementation, and Teams

Mancini¹,

Soar²,

Bhanji³

et al. 2010

Circulation

View full text Add to dashboard Cite

“…Even though changes in systolic blood pressure alone do not predict adverse events [45,46] , a decreased systolic blood pressure together with a decrease in urinary output, and/or respiratory changes and/or a decrease in consciousness is associated with a higher risk of death, as is a decreased systolic blood pressure with an abnormal blood gas analysis [46,47] . The low calling rate was also seen in case of decreased oxygen saturation and an increased heart rate.…”

Section: Discussionmentioning

confidence: 99%

Effect of implementation of a rapid response system on protocol adherence in a surgical ward

Simmes

Schoonhoven²,

Mintjes

et al. 2013

JHA

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Objective: To describe the implementation of a rapid response system and adherence to its afferent limb in order to identify key elements for improvement. Implementation:We developed a multifaceted implementation strategy to introduce the Rapid Response System (RRS) on a 60-bed surgical ward of a university hospital. The strategy included the use of clear objectives, key leaders, an early warning score (EWS) observation protocol and a two-tiered medical emergency team (MET) warning protocol, a 1-day training program including a before-after knowledge test, mandatory for nurses and optional for ward physicians, reminders and feedback. Study design and methods:We retrospectively analyzed a sample of 10,653 patient days and 101 medical records of patients with a serious adverse event (SAE). Outcome measures were EWS recording rates, the nurse to ward physician and the ward physician to the MET calling rates following abnormal EWS recordings, and the indicators triggering these calls.Results: EWS recordings were present in 90% of the day shifts, 88% of the evening shifts and 80% of the night shifts. EWSs were recorded at least once in 92/101 medical records in the three days before an SAE; in 91/101 records EWSs were abnormal at least once. In case of an abnormal score, the nurse called the ward physician once or more in 87% (79/91). After being called by the nurse, the ward physician called the MET once or more in 75% (59/79). However, in 18% (15/79) there was a delay of one or two days before the ward physician/MET was called. Overall, medical emergency team calls were absent or delayed in over 50%. Conclusions:After RRS implementation, recording of the EWS was high. Adequate warning in case of abnormal scores was suboptimal in nurses as well as ward physicians. Future implementation strategies should therefore be aimed at the interdisciplinary team.

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“…Recent international studies of serious adverse inhospital events have examined the relationship between the observation of abnormal VS findings and patient outcomes to assess the prognostic value for potential life-threatening events. Australian researchers (Harrison, Jacques, Kilborn, & McLaws, 2005;Jacques, Harrison, McLaws, & Kilborn, 2006) examined the prevalence of recordings the 'signs of critical conditions and emergency responses' (SOCCER) in hospital wards. A retrospective crosssectional survey of 3,160 general medical-surgical adult admissions over a 14-day period reported abnormal pulse oximetry (Sp02), blood pressure (BP), pulse/heart rate (HR) were among the top four early signs (ES) of serious adverse event (SAE) and abnormal respiratory rate (RR) and GCS score ranked 11 and 12 respectively.…”

Section: Clinical Surveillancementioning

confidence: 99%

Neurological Assessment in the Acute Care Practice Environment of Northern Ontario Hospitals

St-Denis

Wenghofer

Young

et al. 2017

DRHJ

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Traumatic brain injury (TBI) is a leading cause of death and disability in developed countries and in Ontario. Trauma is the primary cause of neurological injury contributing to disability and loss of productive years. Neurological assessment remains the cornerstone to identifying evolving injury and planning care. A comprehensive assessment including all components related to neurological function, such as Glasgow Coma Scale (GCS), pupillary size and light reactivity, limb strength and vital signs, is paramount if the nurse is to initiate prompt action by medical personnel meant to improve survival outcomes and minimize long term sequelae. Clinical surveillance is essential in the identification of physiological changes and is vital in deciding whether computerized tomography (CT) is necessary. This is especially important in regions where a return trip for diagnostic testing can extend the length of time in reaching a medical diagnosis and treatment. Recent studies have indicated gaps in the documentation of neurological assessment. Numerous studies have examined factors that influence patient outcomes following TBI, few have looked at the short term outcomes of immediate care for mild TBI and none could be found to suggest on-going clinical surveillance provided in the first six hours contributed to positive or negative outcomes.

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Signs of critical conditions and emergency responses (SOCCER): A model for predicting adverse events in the inpatient setting

Cited by 137 publications

References 21 publications

Part 12: Education, Implementation, and Teams

Part 12: Education, Implementation, and Teams

Effect of implementation of a rapid response system on protocol adherence in a surgical ward

Neurological Assessment in the Acute Care Practice Environment of Northern Ontario Hospitals

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