The Medical Emergency Team Call

Smith, Robert L.; Hayashi, Vivian N.; Lee, Young Im; Navarro-Mariazeta, Leonila; Felner, Kevin

doi:10.1097/ccm.0b013e3182a27413

Cited by 52 publications

(20 citation statements)

References 10 publications

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“…Two recent studies analyzed the importance of RRTs in providing goals-of-care discussions [24,25]. Both studies found that approximately one third of RRT activations were associated with end-of-life issues or questions about limitations of medical care, indicating that provision of these discussions is an important function of the RRS.…”

Section: Discussionmentioning

confidence: 99%

The role of the primary care team in the rapid response system

O’Horo

Berrios

Elmer

et al. 2015

Journal of Critical Care

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Purpose The purpose of the study is to evaluate the impact of primary service involvement on rapid response team (RRT) evaluations. Materials and methods The study is a combination of retrospective chart review and prospective survey-based evaluation. Data included when and where the activations occurred and the patient's code status, primary service, and ultimate disposition. These data were correlated with survey data from each event. A prospective survey evaluated the primary team's involvement in decision making and the overall subjective quality of the interaction with primary service through a visual analog scale. Results We analyzed 4408 RRTs retrospectively and an additional 135 prospectively. The primary team's involvement by telephone or in person was associated with significantly more transfers to higher care levels in retrospective (P < .01) and prospective data sets. Code status was addressed more frequently in primary team involvement, with more frequent changes seen in the retrospective analysis (P = .01). Subjective ratings of communication by the RRT leader were significantly higher when the primary service was involved (P < .001). Conclusions Active primary team involvement influences RRT activation processesofcare. The RRT role should be an adjunct to, but not a substitute for, an engaged and present primary care team.

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Section: Discussionmentioning

confidence: 99%

The role of the primary care team in the rapid response system

O’Horo

Berrios

Elmer

et al. 2015

Journal of Critical Care

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“…Vasquez et al (8) found that implementation of the RRT increased formal comfort care orders, administration of opioids and chaplain visits. Smith et al (17) found that the implementation of RRTs increased the trend of do-not-resuscitate orders without impacting hospital mortality. An analysis of RRTs and EOL status from the MERIT study found that approximately 8% of RRT calls resulted in a change of EOL status (6).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Rapid Response Teams on End‐of‐Life Care: A Retrospective Chart Review

Tam

Salib

Fox‐Robichaud

2014

Canadian Respiratory Journal

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“…In a recent study [10], 45 ward patients with a DNR order in place were reviewed by the MET and 18 (40%) were transferred to the ICU after MET activation.…”

Section: Measures Of Effectivenessmentioning

confidence: 99%