dc.contributor.author | Massey, Debbie | |
dc.contributor.author | Aitken, Leanne M | |
dc.contributor.author | Chaboyer, Wendy | |
dc.date.accessioned | 2018-06-18T04:43:19Z | |
dc.date.available | 2018-06-18T04:43:19Z | |
dc.date.issued | 2015 | |
dc.identifier.issn | 0964-3397 | |
dc.identifier.doi | 10.1016/j.iccn.2014.11.005 | |
dc.identifier.uri | http://hdl.handle.net/10072/117134 | |
dc.description.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. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.publisher.place | United Kingdom | |
dc.relation.ispartofpagefrom | 83 | |
dc.relation.ispartofpageto | 90 | |
dc.relation.ispartofissue | 2 | |
dc.relation.ispartofjournal | Intensive and Critical Care Nursing | |
dc.relation.ispartofvolume | 31 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Acute care | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 420501 | |
dc.title | The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.description.version | Accepted Manuscript (AM) | |
gro.faculty | Griffith Health, School of Nursing and Midwifery | |
gro.rights.copyright | © 2015 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Chaboyer, Wendy | |