scholarly journals Predictors of in-hospital Mortality After Rapid Response System Activation in a Newly Established Tertiary Hospital

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Büşra Tezcan ◽  
Müçteba Can ◽  
Çilem Bayındır Dicle ◽  
İbrahim Mungan ◽  
Derya Ademoğlu
Keyword(s):  
Hospital Mortality ◽  
Tertiary Hospital ◽  
Rapid Response ◽  
Rapid Response System ◽  
Response System ◽  
System Activation

scholarly journals Trends of in-hospital cardiac arrests in a single tertiary hospital with a mature rapid response system

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262541
Author(s):  
Hohyung Jung ◽  
Ryoung-Eun Ko ◽  
Myeong Gyun Ko ◽  
Kyeongman Jeon
Keyword(s):  
Hospital Mortality ◽  
Poisson Regression ◽  
Regression Models ◽  
Tertiary Hospital ◽  
Rapid Response ◽  
Rapid Response System ◽  
Quality Metric ◽  
Response System ◽  
Annual Changes ◽  
General Wards

Background Most studies on rapid response system (RRS) have simply focused on its role and effectiveness in reducing in-hospital cardiac arrests (IHCAs) or hospital mortality, regardless of the predictability of IHCA. This study aimed to identify the characteristics of IHCAs including predictability of the IHCAs as our RRS matures for 10 years, to determine the best measure for RRS evaluation. Methods Data on all consecutive adult patients who experienced IHCA and received cardiopulmonary resuscitation in general wards between January 2010 and December 2019 were reviewed. IHCAs were classified into three groups: preventable IHCA (P-IHCA), non-preventable IHCA (NP-IHCA), and inevitable IHCA (I-IHCA). The annual changes of three groups of IHCAs were analyzed with Poisson regression models. Results Of a total of 800 IHCA patients, 149 (18.6%) had P-IHCA, 465 (58.1%) had NP-IHCA, and 186 (23.2%) had I-IHCA. The number of the RRS activations increased significantly from 1,164 in 2010 to 1,560 in 2019 (P = 0.009), and in-hospital mortality rate was significantly decreased from 9.20/1,000 patients in 2010 to 7.23/1000 patients in 2019 (P = 0.009). The trend for the overall IHCA rate was stable, from 0.77/1,000 patients in 2010 to 1.06/1,000 patients in 2019 (P = 0.929). However, while the incidence of NP-IHCA (P = 0.927) and I-IHCA (P = 0.421) was relatively unchanged over time, the incidence of P-IHCA decreased from 0.19/1,000 patients in 2010 to 0.12/1,000 patients in 2019 (P = 0.025). Conclusions The incidence of P-IHCA could be a quality metric to measure the clinical outcomes of RRS implementation and maturation than overall IHCAs.

scholarly journals Effect of a rapid response system on code rates and in-hospital mortality in medical wards

2019 ◽  
Vol 34 (4) ◽  
pp. 246-254 ◽  
Author(s):  
Hong Yeul Lee ◽  
Jinwoo Lee ◽  
Sang-Min Lee ◽  
Sulhee Kim ◽  
Eunjin Yang ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Rapid Response ◽  
Rapid Response System ◽  
Response System ◽  
Medical Wards

Post‐operative alarm signs in the rapid response system and hospital mortality after non‐cardiac surgery

2020 ◽  
Vol 64 (10) ◽  
pp. 1431-1437
Author(s):  
In‐Ae Song ◽  
Jun Kwon Cha ◽  
Tak Kyu Oh ◽  
Yeon Joo Lee ◽  
You Hwan Jo ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Hospital Mortality ◽  
Rapid Response ◽  
Rapid Response System ◽  
Response System

scholarly journals Outcomes of hospitalized hematologic oncology patients receiving rapid response system activation for acute deterioration: another time, another way

Critical Care ◽  
2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Belén Civantos ◽  
José Manuel Añón ◽  
Santiago Yus ◽  
María José Asensio ◽  
Abelardo García-de-Lorenzo
Keyword(s):  
Rapid Response ◽  
Rapid Response System ◽  
Oncology Patients ◽  
Response System ◽  
System Activation

Outcomes following changing from a two-tiered to a three-tiered hospital rapid response system

2019 ◽  
Vol 43 (2) ◽  
pp. 178
Author(s):  
The Concord Medical Emergency Team Study Investigators
Keyword(s):  
Cardiac Arrest ◽  
Hospital Mortality ◽  
Patient Outcomes ◽  
Medical Emergency Team ◽  
Rapid Response ◽  
Medical Emergency ◽  
Rapid Response System ◽  
Structured Interviews ◽  
Emergency Team ◽  
Response System

Objectives The aim of the present study was to determine whether changing a hospital rapid response system (RRS) from a two-tiered to a three-tiered model can reduce disruption to normal hospital routines while maintaining the same overall patient outcomes. Methods Staff at an Australian teaching hospital attending medical emergency team and cardiac arrest (MET/CA) calls were interviewed after the RRS was changed from a two-tiered to three-tiered model, and the results were compared with a study using the same methods conducted before the change. The main outcome measures were changes in: (1) the incident rate resulting from staff leaving normal duties to attend MET/CA calls; (2) the cardiac arrest rate, (3) unplanned intensive care unit (ICU) admission rates; and (4) hospital mortality. Results We completed 1337 structured interviews (overall response rate 65.2%). The rate of incidents occurring as a result of staff leaving normal duties to attend MET/CA calls fell from 213.7 to 161.3 incidents per 1000 MET/CA call participant attendances (P<0.001), but the rate of cardiac arrest and unplanned ICU admissions did not change significantly. Hospital mortality was confounded by the opening of a new palliative care ward. Conclusion A three-tiered RRS may reduce disruption to normal hospital routines while maintaining the same overall patient outcomes. What is known about the topic? RRS calls result in significant disruption to normal hospital routines because staff can be called away from normal duties to attend. The best staffing model for an RRS is currently unknown. What does this paper add? The present study demonstrates, for the first time, that changing a hospital RRS from a two-tiered to a three-tiered model can reduce the rate of incidents reported by staff caused by leaving normal duties to attend RRS calls while maintaining the same overall patient outcomes. What are the implications for practitioners? Hospitals could potentially reduce disruption to normal hospital routines, without compromising patient care, by changing to a three-tiered RRS.

scholarly journals Outcomes of hospitalized hematologic oncology patients receiving rapid response system activation for acute deterioration

Critical Care ◽  
2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Benjamin Gershkovich ◽  
Shannon M. Fernando ◽  
Brent Herritt ◽  
Lana A. Castellucci ◽  
Bram Rochwerg ◽  
...  
Keyword(s):  
Rapid Response ◽  
Rapid Response System ◽  
Oncology Patients ◽  
Response System ◽  
System Activation
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