2017, Number 3
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Acta Med 2017; 15 (3)
Effectiveness of the rapid response team at the Hospital Ángeles Pedregal
Elguea EPA, Hernández CC, Ramírez RL, García GN, López LC, Gómez GB, García GAE, Esponda PJG
Language: Spanish
References: 21
Page: 181-188
PDF size: 182.46 Kb.
ABSTRACT
A rapid response team (RRT) has the function to attend to the assessment of the hospitalized patient that presents clinical deterioration signs, this is in order to avoid further, preventable critical events and so reduce in hospital morbidity and mortality. The aim of this paper is to evaluate the effectiveness of the RRT in Hospital Ángeles Pedregal. For this, we performed an observational, retrospective and transversal study from the period of February 1 2014 to June 30 2015. We analized the survival of the patients admitted to the ICU comparing a group of patients that were evaluated for a RRT against a group that were not evaluated. We identified better survival in patients who received a RRT evaluation (37.7 versus 21.2% respectively) and this was independent of the severity of illness. Thus we conclude that the RRT works with effectiveness making possible an early detection of the patient with clinical deterioration, achieving a timely admission of the patient to Intensive Care Unit and a better survival.
REFERENCES
Davis P, Lay-Yee R, Briant R, Ali W, Scott A, Schug S. Adverse events in New Zealand public hospitals I: Occurrence and impact. N Z Med J. 2002; 115 (1167): U271.
Smith AF, Wood J. Can some in-hospital cardio-respiratory arrests be prevented? A prospective survey. Resuscitation. 1998; 37: 133-137.
Kause J, Smith G, Prytherch D, Parr M, Flabouris A, Hillman K et al. A comparison of antecedents to cardiac arrests, deaths and emergency intensive care admissions in Australia and New Zealand, and in the United Kingdom- the ACADEMIA study. Resuscitation. 2004; 62: 275-282.
Schein RM, Hazday N, Pena M, Ruben BH, Sprung CL. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990; 98: 1388-1392.
National Confidential Enquiry into Patient Outcome and Death. An acute problem? London: National Confidential Enquiry into Patient Outcome and Death; 2005.
McQuillan P, Pilkington S, Allan A, Taylor B, Short A, Morgan G et al. Confidential inquiry into the quality of care before admission to intensive care. BMJ. 1998; 316: 1853-1858.
Intensive Care Society. Guidelines for the introduction of Outreach services. Standards and guidelines. ICS. 2002.
Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015; 19: 254.
Peberdy MA, Cretikos M, Abella BS, DeVita M, Goldhill D, Kloeck W et al. Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement: a scientific statement from the International Liaison Committee on Resuscitation (American Heart Association, Australian Resuscitation Council, European Resuscitation Council, Heart and Stroke Foundation of Canada, Inter American Heart Foundation, Resuscitation Council of Southern Africa, and the New Zealand Resuscitation Council); the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiopulmonary, Perioperative, and Critical Care; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation. 2007; 116: 2481-2500.
5 million lives campaign. Getting started kit: rapid response teams. Cambridge, MA: Institute for Healthcare Improvement; 2008.
Oglesby KJ, Lesley D, Welch J, Subbe CP. Score to door time, a benchmarking tool for rapid response systems: a pilot multi-centre service evaluation. Crit Care. 2011; 15: R180.
National Patient Safety Agency. Safer care for the acutely ill patient: learning from serious incidents. [Internet] 2007. Available in: www.npsa.nhs.uk
Echavarría PE, Cerón DU, Esponda PJ, Cabrera JR. Calidad en la atención del paciente crítico. Rev Asoc Mex Med Crit y Ter Int. 2012; 26 (1): 42-50.
Aguirre SCA, Cerón DUW, Sierra UA. Comparación del rendimiento de 2 modelos predictivos de mortalidad: SAPS 3 vs, APACHE II, en una Unidad de Terapia Intensiva Mexicana. Rev Asoc Mex Med Crit y Ter Int. 2007; 21 (3): 119-124.
Vincent JL, de Mendonça A, Cantraine F, Moreno R, Takala J, Suter PM et al. Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: results of a multicentric, prospective study. Crit Care Med. 1998; 26: 1793-1800.
Subbe CP, Kruger M, Rutherford P, Gemmel L. Validation of a modified early warning score in medical admissions. QJM. 2001; 94: 521-526.
Ranji SR, Auerbach AD, Hurd CJ, O’Rourke K, Shojania KG. Effects of rapid response systems on clinical outcomes: Systematic review and meta-analysis. J Hosp Med. 2007; 2: 422-432.
Silber JH, Romano PS, Rosen AK, Wang Y, Even-Shoshan O, Volpp KG. Failure to rescue: comparing definitions to measure quality of care. Med Care. 2007; 45 (10): 918-925.
Jones Simon, Bottle Alex, Griffiths Peter. An assessment of “Failure to rescue” derived from routine NHS data as a nursing sensitive patient safety indicator for surgical inpatient care. National Nursin Research Unit. January 2011. [https://www.kcl.ac.uk/nursing/research/nnru/publications/Reports/Failure-to-Rescue.pdf]
Elguea EP, Esponda PJ, Cerón DU, García GM. Segundo lugar Premio «Dr. Mario Shapiro». Calidad de la atención en el cuidado del paciente crítico en una Unidad de Terapia Intensiva mexicana del sector privado. Rev Asoc Mex Med Crit y Ter Int. 2012; XXVI (4): 209-214.
Young MP, Gooder VJ, McBride K, James B, Fisher ES. Inpatient transfers to the Intensive Care Unit: delays are associated with increased mortality and morbidity. J Gen Intern Med. 2003; 18: 77.