Journal article
The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team
Intensive and Critical Care Nursing, Vol.31, pp.83-90
2015
Abstract
Aim: To identify the relationship between one example of a rapid response system (RRS), specifically, an after-hours Clinical Team Co-Ordinator (CTC), and the incidence of Medical Emergency Team (MET) activations and, adverse and major adverse events in medical patients. Method: A retrospective chart audit of patients' medical records was undertaken. The intervention group consisted of 150 randomly selected medical patients admitted during three months after the introduction of the CTC after-hours service. The control group consisted of 150 randomly selected medical patients admitted before the introduction of the after-hours CTC service. Multiple logistic regression was used to determine which of the potential predictors, along with the after-hours CTC service, were associated with adverse and major adverse events. Results: A total of 130 patients (n = 63, 42% control; n = 67, 45% intervention) exhibited physiological abnormalities that should have activated the MET yet it was only activated five times. In total there were 69 adverse events (n = 32, 21% control; n = 36, 25% intervention) and 25 major adverse events (n = 7, 5% control; n = 18, 12% intervention). There were more adverse and major adverse events identified after the introduction of the CTC after-hours service. Changes in heart rate and reduction in Glasgow Coma Scores (GCS) were significant predictors of an adverse event. A low urine output and a drop of two or more in the GCS were significant predictors of a major adverse event. Conclusions: The introduction of an after-hours CTC service in a specific clinical site was associated with an increase in the identification of adverse and major adverse events in medical patients. Further exploration of nurse-led rapid response systems should be undertaken in different clinical settings. © 2014.
Details
- Title
- The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team
- Authors
- Deborah Massey (Author) - Griffith UniversityL M Aitken (Author) - Griffith UniversityW Chaboyer (Author) - Griffith University
- Publication details
- Intensive and Critical Care Nursing, Vol.31, pp.83-90
- Publisher
- Churchill Livingstone
- Date published
- 2015
- DOI
- 10.1016/j.iccn.2014.11.005
- ISSN
- 0964-3397; 0964-3397
- Copyright note
- Copyright © 2015. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99450909902621
- Output Type
- Journal article
- Research Statement
- false
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