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"Rapid response teams"

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https://www.readbyqxmd.com/read/29920549/time-delays-in-the-response-to-the-neisseria-meningitidis-serogroup-c-outbreak-in-nigeria-2017
#1
Assad Hassan, G U Mustapha, Bola B Lawal, Aliyu M Na'uzo, Raji Ismail, Eteng Womi-Eteng Oboma, Oyeronke Oyebanji, Jeremiah Agenyi, Chima Thomas, Muhammad Shakir Balogun, Mahmood M Dalhat, Patrick Nguku, Chikwe Ihekweazu
BACKGROUND: Nigeria reports high rates of mortality linked with recurring meningococcal meningitis outbreaks within the African meningitis belt. Few studies have thoroughly described the response to these outbreaks to provide strong and actionable public health messages. We describe how time delays affected the response to the 2016/2017 meningococcal meningitis outbreak in Nigeria. METHODS: Using data from Nigeria Centre for Disease Control (NCDC), National Primary Health Care Development Agency (NPHCDA), World Health Organisation (WHO), and situation reports of rapid response teams, we calculated attack and death rates of reported suspected meningococcal meningitis cases per week in Zamfara, Sokoto and Yobe states respectively, between epidemiological week 49 in 2016 and epidemiological week 25 in 2017...
2018: PloS One
https://www.readbyqxmd.com/read/29870923/surgical-ward-nurses-responses-to-worry-an-observational-descriptive-study
#2
Gooske Douw, Getty Huisman-de Waal, Arthur R H van Zanten, Johannes G van der Hoeven, Lisette Schoonhoven
BACKGROUND: Rapid response systems aim to improve early recognition and treatment of deteriorating general ward patients. Sole reliance on deviating vital signs to escalate care in rapid response systems disregards nurses' judgments about a patient's condition based on worry and other indicators of deterioration. To make worry explicit, the Dutch-Early-Nurse-Worry-Indicator-Score was developed, summarising non-quantifiable signs of deterioration in the nine indicators: breathing, circulation, temperature, mentation, agitation, pain, unexpected trajectory, patient indicates not feeling well and nurses' subjective observations...
May 21, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29862330/qualitative-study-exploring-factors-influencing-escalation-of-care-of-deteriorating-children-in-a-children-s-hospital
#3
Orsola Gawronski, Christopher Parshuram, Corrado Cecchetti, Emanuela Tiozzo, Marta Luisa Ciofi Degli Atti, Immacolata Dall'Oglio, Gianna Scarselletta, Caterina Offidani, Massimiliano Raponi, Jos M Latour
Background: System-level interventions including rapid response teams and paediatric early warning scores have been designed to support escalation of care and prevent severe adverse events in hospital wards. Barriers and facilitators to escalation of care have been rarely explored in paediatric settings. Aim: This study explores the experiences of parents and healthcare professionals of in-hospital paediatric clinical deterioration events to identify factors associated with escalation of care...
2018: BMJ Paediatrics Open
https://www.readbyqxmd.com/read/29803014/what-nurses-involved-in-a-medical-emergency-teams-consider-the-most-vital-areas-of-knowledge-and-skill-when-delivering-care-to-the-deteriorating-ward-patient-a-nurse-oriented-curriculum-development-project
#4
Judy Currey, Debbie Massey, Josh Allen, Daryl Jones
INTRODUCTION: Critical care nurses have been involved in Rapid Response Teams since their inception, particularly in medically led RRTs, known as Medical Emergency Teams. It is assumed that critical care skills are required to escalate care for the deteriorating ward patient. However, evidence to support critical care nurses' involvement in METs is anecdotal. Currently, little is known about the educational requirements for nurses involved in RRT or METs. OBJECTIVES: We aimed to identify and describe what nurses involved in a MET consider the most vital areas of knowledge and skill when delivering care to the deteriorating ward patient...
August 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29779398/handoff-tool-enabling-standardized-transitions-between-the-emergency-department-and-the-hospitalist-inpatient-service-at-a-major-cancer-center
#5
Carmen E Gonzalez, Norman Brito-Dellan, Srinivas R Banala, David Rubio, Mohamed Ait Aiss, Terry W Rice, Karen Chen, Diane C Bodurka, Carmelita P Escalante
Communication failures during patient handoff can lead to serious errors. A quality improvement team created a standardized handoff tool/process (DE-PASS: Decisive problem requiring admission, Evaluation time, Patient summary, Acute issues/action list, Situation unfinished/awareness, Signed out to) for admitting patients from the emergency department (ED) to the hospitalist inpatient service of a tertiary cancer center. DE-PASS mirrors the institution's ED workflow, stratifies patients as stable/urgent/emergent, and establishes requirements for verbal and email communications between providers...
May 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29778659/sepsis-3-septic-shock-criteria-and-associated-mortality-among-infected-hospitalized-patients-assessed-by-a-rapid-response-team
#6
Shannon M Fernando, Peter M Reardon, Bram Rochwerg, Nathan I Shapiro, Donald M Yealy, Andrew J E Seely, Jeffrey J Perry, Douglas P Barnaby, Kyle Murphy, Peter Tanuseputro, Kwadwo Kyeremanteng
BACKGROUND: Rapid Response Teams (RRTs) respond to deteriorating hospitalized patients, and help determine subsequent management, including Intensive Care Unit (ICU) admission. In such patients with sepsis and septic shock, the Sepsis-3 clinical criteria have a potential role in detection, risk-stratification, and prognostication, though their accuracy in comparison to the Systemic Inflammatory Response Syndrome (SIRS)-based septic shock criteria are unknown. We sought to evaluate prognostic accuracy of the Sepsis-3 criteria for in-hospital mortality among infected hospitalized patients with acute deterioration...
May 17, 2018: Chest
https://www.readbyqxmd.com/read/29743763/impact-of-stroke-code-rapid-response-team-an-attempt-to-improve-intravenous-thrombolysis-rate-and-to-shorten-door-to-needle-time-in-acute-ischemic-stroke
#7
Sushma K Gurav, Kapil G Zirpe, R S Wadia, Avinash Naniwadekar, Prajakta U Pote, Amit Tungenwar, Abhijeet M Deshmukh, Srikanta Mohopatra, Balakrishna Nimavat, Prasad Surywanshi
Objective: "Stroke code" (SC) implementation in hospitals can improve the rate of thrombolysis and the timeline in care of stroke patient. Materials and Methods: A prospective data of patients treated for acute ischemic stroke (AIS) after implementation of "SC" (post-SC era) were analyzed (2015-2016) and compared with the retrospective data of patients treated in the "pre-SC era." Parameters such as symptom-to-door, door-to-physician, door-to-imaging, door-to-needle (DTN), and symptom-to-needle time were calculated...
April 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29720053/prevalence-risk-factors-and-clinical-consequences-of-recurrent-activation-of-a-rapid-response-team-a-multicenter-observational-study
#8
Shannon M Fernando, Peter M Reardon, Damon C Scales, Kyle Murphy, Peter Tanuseputro, Daren K Heyland, Kwadwo Kyeremanteng
INTRODUCTION: Rapid response teams (RRTs) are groups of health-care providers, implemented by hospitals to respond to distressed hospitalized patients on the hospital wards. Patients assessed by the RRT for deterioration may be admitted to the intensive care unit (ICU) or may be triaged to remain on the wards, putting them at risk of recurrent deterioration and repeat RRT activation. Previous studies evaluating outcomes of patients with recurrent deterioration and multiple RRT activations have produced conflicting results...
January 1, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29717292/outbreak-investigation-following-the-2015-earthquake-disaster-in-nepal
#9
Geeta Shakya, Baburam Marasini, Khem Bahadur Karki, Bishnu Prasad Upadhaya, Jyoti Acharya, Shailaja Adhikari, Rosham Manjhi, Laxman Maharjan, Lilee Shrestha, Kamal Ranabhat, Sujan Babu Marahatta, Bikal Shrestha, Meghnath Dhimal
BACKGROUND: Infectious disease outbreaks following natural disasters are reported in literature. Outbreaks were documented following natural disasters in many countries including Haiti. Such possibility following 2015 Nepal earthquake was a public health concern. Risk factors needed evaluation by post-disaster outbreak investigation. Hence, present study was undertaken to investigate potentials for such outbreak and to generate evidence for public health intervention. METHODS: The study was conducted between April - May, 2015, with the cooperation of National Public Health Laboratory, Epidemiology and Disease Control Division, Nepal Health Research Council and the Chinese team...
March 13, 2018: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29716911/early-warning-score-communication-bundle-a-pilot-study
#10
EDITORIAL
Cheryl Gagne, Susan Fetzer
BACKGROUND: Unplanned admissions of patients to intensive care units from medical-surgical units often result from failure to recognize clinical deterioration. The early warning score is a clinical decision support tool for nurse surveillance but must be communicated to nurses and implemented appropriately. A communication process including collaboration with experienced intensive care unit nurses may reduce unplanned transfers. OBJECTIVE: To determine the impact of an early warning score communication bundle on medical-surgical transfers to the intensive care unit, rapid response team calls, and morbidity of patients upon intensive care unit transfer...
May 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29716669/the-health-sector-response-to-the-2015-earthquake-in-nepal
#11
Shiva Subedi, Guna Nidhi Sharma, Sagar Dahal, Megha Raj Banjara, Basu Dev Pandey
ABSTRACTIn April 2015, Nepal experienced an earthquake of a magnitude of 7.6 on the Richter scale that resulted in deaths, morbidities, and infrastructure damage. In the post-earthquake period, 4 different workshops and a national "Lessons Learnt" conference were organized to assess the adequacy of the preparedness and response of the health sector. This article summarizes the main conclusions of these discussions relating to leadership, timely search and rescue, referral operations, medical relief to response activities, awareness campaigns, and support from the national and international levels, and epidemiological surveillance...
May 2, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29716489/governance-of-rapid-response-teams-in-australia-and-new-zealand
#12
S S Sethi, R Chalwin
Rapid response systems (RRS) in hospitals in Australia and New Zealand (ANZ) have been present for more than 20 years but governance of the efferent limb-the rapid response team (RRT)-has not been previously reported in detail. The objectives of this study were to describe current governance arrangements for RRTs within ANZ and contrast those against expected implementation, using the Australian Commission for Safety and Quality in Health Care National Standard 9 (S9) as a benchmark. Assessment focused on S9 subclauses 9...
May 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29705408/factors-associated-with-delayed-rapid-response-team-activation
#13
Peter M Reardon, Shannon M Fernando, Kyle Murphy, Erin Rosenberg, Kwadwo Kyeremanteng
Delayed activation of the rapid response team (RRT) is common and has been associated with adverse outcomes. However, little is known about the factors associated with delayed activation. This was an observational study from two hospitals in Ottawa, Canada, including adult inpatients with experiencing an activation of the RRT. Data was collected between May 1, 2012 and May 31, 2016 and groups were divided between those with activation within 1 h of meeting call criteria and those with >1 h (delayed activation)...
April 19, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29698354/a-systematic-review-of-early-warning-systems-effects-on-nurses-clinical-performance-and-adverse-events-among-deteriorating-ward-patients
#14
Ju-Ry Lee, Eun-Mi Kim, Sun-Aee Kim, Eui Geum Oh
OBJECTIVE: Early warning systems (EWSs) are an integral part of processes that aim to improve the early identification and management of deteriorating patients in general wards. However, the widespread implementation of these systems has not generated robust data regarding nurses' clinical performance and patients' adverse events. This review aimed to determine the ability of EWSs to improve nurses' clinical performance and prevent adverse events among deteriorating ward patients. METHOD: The PubMed, CINAHL, EMBASE, and Cochrane Library databases were searched for relevant publications (January 1, 1997, to April 12, 2017)...
April 25, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29686889/increases-in-heart-rate-variability-signal-improved-outcomes-in-rapid-response-team-consultations-a-cohort-study
#15
Nawal Salahuddin, Azam Shafquat, Qussay Marashly, Khaled Juan Zaza, Moh'd Sharshir, Moazzum Khurshid, Zeeshan Ali, Melissa Malgapo, Mouhamad Ghyath Jamil, Mohamed Shoukri, Mohammed Hijazi, Bandar Al-Ghamdi
Background: Reduced heart rate variability (HRV) indicates dominance of the sympathetic system and a state of "physiologic stress." We postulated that, in patients with critical illness, increases in HRV might signal successful resuscitation and improved prognosis. Methods: We carried out a prospective observational study of HRV on all patients referred to the rapid response team (RRT) and correlated with serial vital signs, lactate clearance, ICU admission, and mortality...
2018: Cardiology Research and Practice
https://www.readbyqxmd.com/read/29686761/implementation-of-a-formal-debriefing-program-after-pediatric-rapid-response-team-activations
#16
Linda Aponte-Patel, Arash Salavitabar, Pamela Fazzio, Andrew S Geneslaw, Pamela Good, Anita I Sen
Background : Debriefing after pediatric rapid response team activations (RRT-As) in a tertiary care children's hospital was identified to occur only sporadically. The lack of routine debriefing after RRT-As was identified as a missed learning opportunity. Objective : We implemented a formal debriefing program and assessed staff attitudes toward and experiences with debriefing after pediatric RRT-As. Methods : Real-time feedback for pediatrics residents captured clinical and debriefing data for each RRT-A from July 2014 to June 2016...
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29670358/multidisciplinary-approach-to-the-management-of-pulmonary-embolism-patients-the-pulmonary-embolism-response-team-pert
#17
REVIEW
Christopher W Root, David M Dudzinski, Bishoy Zakhary, Oren A Friedman, Akhilesh K Sista, James M Horowitz
Pulmonary embolism (PE) is a potentially fatal disease with a broad range of treatment options that spans multiple specialties. The rapid evolution and expansion of novel therapies to treat PE make it a disease process that is well suited to a multidisciplinary approach. In order to facilitate a rapid, robust response to the diagnosis of PE, some hospitals have established multidisciplinary pulmonary embolism response teams (PERTs). The PERT model is based on existing multidisciplinary teams such as heart teams and rapid response teams...
2018: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/29605480/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted-to-a-general-medical-service
#18
Kito Lord, Vivek Parwani, Andrew Ulrich, Emily B Finn, Craig Rothenberg, Beth Emerson, Alana Rosenberg, Arjun K Venkatesh
OBJECTIVE: Overcrowding in the emergency department (ED) has been associated with patient harm, yet little is known about the association between ED boarding and adverse hospitalization outcomes. We sought to examine the association between ED boarding and three common adverse hospitalization outcomes: rapid response team activation (RRT), escalation in care, and mortality. METHOD: We conducted an observational analysis of consecutive patient encounters admitted from the ED to the general medical service between February 2013 and June 2015...
March 20, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29557884/association-between-hospital-staffing-models-and-failure-to-rescue
#19
Sarah T Ward, Justin B Dimick, Wenying Zhang, Darrell A Campbell, Amir A Ghaferi
OBJECTIVE: To identify hospital staffing models associated with failure to rescue (FTR) rates at low- and high-performing hospitals. BACKGROUND: FTR is an important quality measure in surgical safety and is a metric that hospitals are seeking to improve. Specific unit-level determinants of FTR, however, remain unknown. METHODS: Retrospective, observational study using data from the Michigan Quality Surgical Collaborative, which is a prospectively collected and clinically audited database in the state of Michigan...
March 19, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29541564/comparison-of-hospital-wide-code-rates-and-mortality-before-and-after-the-implementation-of-a-rapid-response-team
#20
Muhammad Yousaf, Sheher Bano, Muhammad Attaur-Rehman, Chaudhary Muhammad Junaid Nazar, Aayesha Qadeer, Salma Khudaidad, Syed Waqar Hussain
Objective To compare hospital-wide code rates and mortality before and after the implementation of a rapid response team (RRT). Study design A prospective cohort design with historical controls. Place of study This study was conducted at Shifa International Hospital, Islamabad, from January 21, 2016, to January 20, 2017. Materials and methods The triggers for the rapid response team (RRT) were displayed on each floor. The in-house staff was trained on when and how to activate the rapid response team (RRT). Data were collected on a specified data collection form...
January 9, 2018: Curēus
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