2.50
Hdl Handle:
http://hdl.handle.net/10755/182291
Category:
Abstract
Type:
Presentation
Title:
Five Tiered Activation Model Used by a Rapid Response Team Results in Code Reduction
Author(s):
Miller, Semico
Author Details:
Semico Miller, RN, BHA, CCRN, CNRN, Northwestern Memorial Hospital, Chicago, Illinois, USA, email: szmiller@nmh.org
Abstract:
Code Reduction Achieved with Five Tiered Activation Model Used by a Rapid Response Team A patients baseline condition begins to deteriorate a mean of 6.5 hours before an expected critical event or actual cardiac arrest. Seventy percent of such events are preventable. Early recognition of warning signs of clinical deterioration and intervention by Rapid Response Teams (RRTs) may provide better outcomes for general medical surgical patient populations. As part of a quality improvement project, at an academic medical center, a dedicated Rapid Response Team initiated a five point multi-layered approach for team activation. RRT activations were achieved from emergency response line, RRT rounds, RRT follow up, ABG notification, and per modified early warning score (MEWS) protocol. The varied approach was thought to offer more comprehensive global monitoring, allowing for more patients to be screened for potential failure to rescue episodes. The multi-tiered activation approach resulted in 5495 patients being seen within 2008. Staff activation, which include paging system initiated, RRT rounds and RRT follow up, totaled 1418. Modified early warning score activations were 3049 and other activations including ABG and other reasons were 1028. Of the 5495 patients seen, 2140 received therapeutic interventions, care planning assistance provided to 2147, no interventions provided for 1208. The RRT transferred 748 patients to ICU, 167 to telemetry and 4580 patients remained in the general care areas. Since 2004, a global reduction in cardiac and respiratory events outside of the ICU, of 50% has been achieved in non ICU patient population. References: Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV. Effects of medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. Br Med J. 2002; 324:387-390. [Abstract/Full Text] ; Institute for Healthcare Improvement. Available at: www.ihi.org/ihi/programs/campaign/ Accessed November 1, 2006.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFive Tiered Activation Model Used by a Rapid Response Team Results in Code Reductionen_GB
dc.contributor.authorMiller, Semicoen_US
dc.author.detailsSemico Miller, RN, BHA, CCRN, CNRN, Northwestern Memorial Hospital, Chicago, Illinois, USA, email: szmiller@nmh.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182291-
dc.description.abstractCode Reduction Achieved with Five Tiered Activation Model Used by a Rapid Response Team A patients baseline condition begins to deteriorate a mean of 6.5 hours before an expected critical event or actual cardiac arrest. Seventy percent of such events are preventable. Early recognition of warning signs of clinical deterioration and intervention by Rapid Response Teams (RRTs) may provide better outcomes for general medical surgical patient populations. As part of a quality improvement project, at an academic medical center, a dedicated Rapid Response Team initiated a five point multi-layered approach for team activation. RRT activations were achieved from emergency response line, RRT rounds, RRT follow up, ABG notification, and per modified early warning score (MEWS) protocol. The varied approach was thought to offer more comprehensive global monitoring, allowing for more patients to be screened for potential failure to rescue episodes. The multi-tiered activation approach resulted in 5495 patients being seen within 2008. Staff activation, which include paging system initiated, RRT rounds and RRT follow up, totaled 1418. Modified early warning score activations were 3049 and other activations including ABG and other reasons were 1028. Of the 5495 patients seen, 2140 received therapeutic interventions, care planning assistance provided to 2147, no interventions provided for 1208. The RRT transferred 748 patients to ICU, 167 to telemetry and 4580 patients remained in the general care areas. Since 2004, a global reduction in cardiac and respiratory events outside of the ICU, of 50% has been achieved in non ICU patient population. References: Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV. Effects of medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. Br Med J. 2002; 324:387-390. [Abstract/Full Text] ; Institute for Healthcare Improvement. Available at: www.ihi.org/ihi/programs/campaign/ Accessed November 1, 2006.en_GB
dc.date.available2011-10-28T15:17:45Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:17:45Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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