2.50
Hdl Handle:
http://hdl.handle.net/10755/183071
Category:
Abstract
Type:
Presentation
Title:
Upstream Factors (triggers) Influencing Initiation of Rapid Response Team
Author(s):
Garcia, Fatima; Barden, Connie
Author Details:
Fatima Garcia, RN, email: jdelossantos@mercymiami.org; Connie Barden, RN, MSN, CCRN, CCNS
Abstract:
Purpose:
Assess upstream factors (missed triggers) in patients with in-hospital cardiac arrest occurring in non-critical care areas and identify indicators for early intervention by rapid response team (RRT).
Method:
With IRB approval retrospective medical record (MR) reviews were conducted for all cardiac arrest in non-critical care areas patients (n = 23) during the 4 month data collection period. The MR review instrument was developed using criteria from the Institute for Healthcare Improvement's (IHI) 100k lives campaign launched in 2004. The instrument assessed qualitative and quantitative indicators to identify factors (missed triggers) that may have contributed to decline in clinical condition.
Findings:
Data analysis is in progress. Early qualitative analysis reveals few common indicators for RRT among this sample. Descriptive statistics will be presented including frequencies for primary and secondary diagnoses, health care provider interventions, and trends observed in vital signs and diagnostic test/procedures recorded in the MR.
Discussion:
The IHI recommended RRT as a lifesaving strategy. Perhaps our lack of findings is due to the small sample size. Future studies should include a longer timeframe of analysis or include multiple sites either across corporate structures or within geographic areas. Determining upstream factors (missed triggers) and staff training and support will improve skills in patient assessment and willingness to initiate a call for help from the RRT. The information gained from this study will identify trends and opportunities for improving the care of hospitalized patients at risk for in-hospital cardiac arrest. Additionally, it will reinforce the conceptualization that there truly is a team of experts at each patient's bedside regardless of unit specialization.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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.titleUpstream Factors (triggers) Influencing Initiation of Rapid Response Teamen_GB
dc.contributor.authorGarcia, Fatimaen_US
dc.contributor.authorBarden, Connieen_US
dc.author.detailsFatima Garcia, RN, email: jdelossantos@mercymiami.org; Connie Barden, RN, MSN, CCRN, CCNSen_US
dc.identifier.urihttp://hdl.handle.net/10755/183071-
dc.description.abstractPurpose: <br/>Assess upstream factors (missed triggers) in patients with in-hospital cardiac arrest occurring in non-critical care areas and identify indicators for early intervention by rapid response team (RRT).<br/>Method: <br/>With IRB approval retrospective medical record (MR) reviews were conducted for all cardiac arrest in non-critical care areas patients (n = 23) during the 4 month data collection period. The MR review instrument was developed using criteria from the Institute for Healthcare Improvement's (IHI) 100k lives campaign launched in 2004. The instrument assessed qualitative and quantitative indicators to identify factors (missed triggers) that may have contributed to decline in clinical condition. <br/>Findings: <br/>Data analysis is in progress. Early qualitative analysis reveals few common indicators for RRT among this sample. Descriptive statistics will be presented including frequencies for primary and secondary diagnoses, health care provider interventions, and trends observed in vital signs and diagnostic test/procedures recorded in the MR. <br/>Discussion: <br/>The IHI recommended RRT as a lifesaving strategy. Perhaps our lack of findings is due to the small sample size. Future studies should include a longer timeframe of analysis or include multiple sites either across corporate structures or within geographic areas. Determining upstream factors (missed triggers) and staff training and support will improve skills in patient assessment and willingness to initiate a call for help from the RRT. The information gained from this study will identify trends and opportunities for improving the care of hospitalized patients at risk for in-hospital cardiac arrest. Additionally, it will reinforce the conceptualization that there truly is a team of experts at each patient's bedside regardless of unit specialization.en_GB
dc.date.available2011-10-28T16:13:19Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:13:19Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.