Adult deterioration detection system (q-adds) based rapid response system (rrs) reduces severity of illness and length of stay of icu admissions from the ward in a regional hospital
نویسندگان
چکیده
Introduction Hospital systems for the recognition (afferent limb) and management (efferent limb) of deteriorating patients, or Rapid Response Systems (RRS), are being mandated world-wide. This is despite conflicting evidence regarding their efficacy, with studies criticised for afferent limb failure, and questionable end points1. Additionally there are concerns regarding treatment limitation decisions and ward staff deskilling. Still, as elsewhere, we were admitting patients into the Intensive Care Unit (ICU) who we felt we should have been involved with earlier.
منابع مشابه
Hillman What ’ s new with rapid response systems ?
The term rapid response system (RRS) describes a hospital-wide approach to (a) improve the detection of deteriorating patients and (b) provide a responding team who commence treatment aimed at preventing serious adverse events including cardiac arrest and unexpected death [1]. Ward staff are alerted to clinical deterioration when patients fulfil predefined criteria based on vital sign derangeme...
متن کاملFinancial consequences of the implementation of a rapid response system on a surgical ward.
RATIONALE, AIMS AND OBJECTIVES Rapid response systems (RRSs) are recommended by the Institute for Healthcare Improvement and implemented worldwide. Our study on the effects of an RRS showed a non-significant decrease in cardiac arrest and/or unexpected death from 0.5% to 0.25%. Unplanned intensive care unit (ICU) admissions increased significantly from 2.5% to 4.2% without a decrease in APACHE ...
متن کاملEarly in-hospital clinical deterioration is not predicted by severity of illness, functional status, or comorbidity
BACKGROUND Prior studies concentrated on unplanned intensive care unit (ICU) transfer to gauge deterioration occurring shortly following hospital admission. However, examining only ICU transfers is not ideal since patients could stabilize with treatment, refuse ICU admission, or not require ICU evaluation. To further explore etiologies of early clinical deterioration, we used rapid response tea...
متن کاملElevated body temperature independently contributes to increased length of stay in neurologic intensive care unit patients.
OBJECTIVE Elevated temperature results in worse outcome in experimental models of cerebral ischemia and brain trauma. In critically ill neurologic and neurosurgical patients, elevated body temperature is common and is associated with neurologic deterioration and poor outcome. We sought to determine whether, after controlling for age, severity of illness, and complications, elevated body tempera...
متن کاملClinician Perspectives of Barriers to Effective Implementation of a Rapid Response System in an Academic Health Centre: A Focus Group Study
Background Systemic and structural issues of rapid response system (RRS) models can hinder implementation. This study sought to understand the ways in which acute care clinicians (physicians and nurses) experience and negotiate care for deteriorating patients within the RRS. Methods Physicians and nurses working within an Australian academic health centre within a jurisdictional-based model o...
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عنوان ژورنال:
دوره 3 شماره
صفحات -
تاریخ انتشار 2015