Improving Quality Of Care And Hospital Outcomes By Understanding Perceived Barriers That Hinder Nurses From Calling Rapid Response Teams
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Improving Quality Of Care And Hospital Outcomes By Understanding Perceived Barriers That Hinder Nurses From Calling Rapid Response Teams
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Author : Mohammad A. Tohemer
language : en
Publisher:
Release Date : 2012
Improving Quality Of Care And Hospital Outcomes By Understanding Perceived Barriers That Hinder Nurses From Calling Rapid Response Teams written by Mohammad A. Tohemer and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Hospital care categories.
Medical Emergency Teams
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Author : Michael A. DeVita
language : en
Publisher: Springer Science & Business Media
Release Date : 2007-07-03
Medical Emergency Teams written by Michael A. DeVita and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-07-03 with Medical categories.
Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of “C- dition C (Crisis),” as it was called to distinguish it from “Condition A (Arrest). ”We thought it absurd to intervene only after cardiac arrest had occurred,because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible.
Rapid Response Team Activation
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Author : Kimberly Jennette
language : en
Publisher:
Release Date : 2017
Rapid Response Team Activation written by Kimberly Jennette and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Hospitals categories.
Textbook Of Rapid Response Systems
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Author : Michael A. DeVita
language : en
Publisher: Springer Science & Business Media
Release Date : 2010-12-10
Textbook Of Rapid Response Systems written by Michael A. DeVita and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-12-10 with Medical categories.
Successor to the editors' groundbreaking book on medical emergency teams, Textbook of Rapid Response Systems addresses the problem of patient safety and quality of care; the logistics of creating an RRS (resource allocation, process design, workflow, and training); the implementation of an RRS (organizational issues, challenges); and the evaluation of program results. Based on successful RRS models that have resulted in reduced in-hospital cardiac arrest and overall hospital death rates, this book is a practical guide for physicians, hospital administrators, and other healthcare professionals who wish to initiate an RRS program within their own institutions.
Critical Care Medicine E Book
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Author : Joseph E. Parrillo
language : en
Publisher: Elsevier Health Sciences
Release Date : 2013-10-16
Critical Care Medicine E Book written by Joseph E. Parrillo and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-10-16 with Medical categories.
Here’s the most clinically oriented critical care text focusing on the adult patient. In full-color and superbly illustrated with clinical photographs, imaging studies, and management algorithms, and with a broad multidisciplinary focus, this text will help you enhance your skills at any level of training. Stands alone as a clinically oriented comprehensive reference. Completely updated and authorship expanded to reflect the evolution in critical care practice. In color for the first time, with new color schematics and treatment algorithms for greater ease of reference. Utilizes key points lists at the end of chapter, to help you make decisions rapidly and easily. Delivers key references that list other useful resources for information. Learn from the best ICU specialists worldwide with contributions from an increased number of international authorities. Effectively manage common complications in the ICU with updated coverage of severe sepsis, septic shock, surgical infections, neurogenic and anaphylactic shock, severe heart failure, acute coronary syndromes, and Acute Respiratory Distress Syndrome. Access the complete contents online at Expert Consult, along with an image bank and instructional videos!
Significance Of Early Intervention In Activating The Rapid Response System
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Author : Marie Perry
language : en
Publisher:
Release Date : 2014
Significance Of Early Intervention In Activating The Rapid Response System written by Marie Perry and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Cardiovascular emergencies categories.
Rapid response systems (RRSs) have been proven to decrease cardiopulmonary arrests, mortality, and critical care admissions. The three main reasons discovered leading to failure of rescue are: breakdown in communication, failure to monitor patient's decline or deterioration, and failure to escalate and activate. It is imperative within a hospital, as an initial defense, that nurses have general knowledge of when, why, and how to activate the rapid response system and to recognize impending signs and symptoms of patient decline. Research has revealed that, a patient's baseline begins to deteriorate on average 6.5 hours prior to an unexpected event happens and seventy percent of such episodes are preventable (Thomas, Vanoyen, Rasmussen, Dodd, and Whilden, 2007). Nurses do not always act on patient's decline even though decline is noticed. Nurses require training regarding the specific RRS programs in place at the organizations they work. Improvement of knowledge, building on skills, and expanding critical thinking for bedside nurses is desirable for positive patient outcomes. Therefore, the organizational culture and structural leadership between managers, supervisors, and subordinates plays a huge deal in nurses activating the RRS in a timely manner. If this is factual, then it would rationally follow that by executing a leadership driven educational initiative, it will be conceivable to improve structural culture and philosophy, and therefore improve patient outcomes and care delivery. The PICOT question for the present project is: In hospitalized patients (P) how does a well-educated knowledgeable trained staff (I) compared to a newer less educated trained staff (C) affect the number of rapid responses activated in a timely manner and in adversely cardiopulmonary arrests and unplanned admissions to the icu (O) in a small new community hospital over a year (T)? Based on the nurse's intuition, as demonstrated through qualitative and quantitative studies, the reasoning behind activation delay will be determined in this paper. This paper will explain how using the transformational leadership approach and Roy's Adaptation Model nurses can be guided to make intuitive decisions and become more knowledgeable with proper training, simulation, and guidance. This proposal will start with an implementation plan, including approval methods from key stakeholders involved, description and explanation of the issue and proposed solutions, rationale for the solution using evidence based literature, description of implementation logistics, and resources required for implementation. Using a mixed methods approach, the evaluation will consist of qualitative methods, being focus groups and simulation, and the quantitative method will involve statistical analysis. It has been implied that the key qualitative variable will entail nurse perception, and that the key quantitative variable will be positive clinical patient outcomes. The ultimate aspiration of this project is to foster and advance an educational intervention in a new organization, related to rapid response systems and teams, by increasing the knowledge base of floor nurses and determining learned perceptions and attitudes of skilled registered nurses. By implementing this evaluation plan, the researcher should be able to obtain a holistic picture of the effectiveness of this proposal.
The Rapid Response Team
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Author : Daryl Andrew Jones
language : en
Publisher:
Release Date : 2014
The Rapid Response Team written by Daryl Andrew Jones and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with categories.
Patients admitted to modern hospitals often have multiple co-morbidities and complexmanagement issues. Studies in 1990s and early 2000s showed that patients suffered serious adverse events (SAEs) that were often not related to illness they presented to hospital with 1-11. These studies used various definitions for a SAE and found that such events occur in up to 17% of hospital admissions. Other studies revealed that prior to the development of the SAE there were warning signs that manifested as changes in a patients vital signs 11-20.In many instances, ward staff did not recognize this instability and the response and escalation of care was not commensurate to the degree of patient instability. In some cases, deterioration would continue until the patient suffered a cardiac arrest, where upon the hospital cardiac arrest team was activated 13,17,21. Multiple studies have shown that once a patient has a cardiac arrest in hospital, their risk of dying during that hospital admission is approximately 80% 22.In response to these observations, many hospitals have implemented specialised teams called Rapid Response Teams (RRT) 23. Such teams are activated when a patient shows signs of physiological instability which manifest as derangements in their vital signs, and the RRT reviews the patient before cardiac arrest and irreversible deterioration occurs.The first section of this thesis provides an overview of the RRT concepts, and presents three articles that investigate the resource implications of this model of care in Australia. The first article is a review which outlines the concepts and principles of Rapid Response Teams from the global perspective 23. The second article describes the uptake and timing of implementation of such servicesinto hospitals in Australia and New Zealand, particularly in relation to related published literature 24. The third article describes the staff that comprise such teams, as well as the level of funding of such teamsin Australia 25.The second section of the thesis, contains five articles that examine the epidemiology of patients who are reviewed by the RRT. The first two articles present original research that describesthe role of the RRT in end of life care (EOLC) for hospitalised patients. The first presents the findings of a seven hospital multi-national 518 patient prospective observational study which revealed that almost one-third of RRT calls were associated with end of life care issues 26. The second article presents the findings of a retrospective observational study of 35 adult Australian hospitals which assessed the mortality of more than 4.9 million hospital admissions and 99,000 RRT calls 27. It revealed that the mortality of patients subject to RRT review was 24.3%, and that the RRT reviewed 21.7% of all of the patients who died during the study period. The third article summarises all known literature reporting on the role of the RRT in EOLC of hospitalised patients and discusses the potential advantages and disadvantages of this approach 28. The fourth article is a seven hospital prospective observationalstudy that examines the timing of RRT activations in relation to the date of hospital admission, as well as over a 24hr period 29. The fifth article in this section summarises the known literature describing the epidemiology of the adult RRT patient in Australia, and proposes three models for summarising RRT syndromes 30.The third section of the thesis presents two articles that argue that earlier detection of deteriorating hospitalised patients may be important in improving patient outcome. The first of these summarises the historic and chronological approach to detection and treatment of deteriorating hospitalised patients and the evolution from cardiac arrest to RRT responses 31. It then presents information related to the Australian Commission on Safety and Quality in Healthcare National consensus statement on essential elements for recognising and responding to clinical deterioration 31. The final article highlights that there is no universally accepted definition of patient deterioration 32. It summarises four models for defining clinical deterioration and the utility of each. It emphasizes that there is a need to develop multiple-variable models for deteriorating ward patients similar to those for ICU patients in order to assist clinician education and real time patient stratification to guide quality improvement initiatives that prevent and improve the response to clinical deterioration.In the fourth section of the thesis, the major findings from the 10 articles of the thesis are summarised and further strategies for the improvement of care of deteriorating patients are proposed.
Patient Safety And Quality
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Author : Ronda Hughes
language : en
Publisher: Department of Health and Human Services
Release Date : 2008
Patient Safety And Quality written by Ronda Hughes and has been published by Department of Health and Human Services this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical categories.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Rapid Response System
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Author : Raghavan Murugan
language : en
Publisher: Oxford University Press
Release Date : 2018
Rapid Response System written by Raghavan Murugan and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Medical categories.
A concise handbook and quick reference guide for the evaluation and management of common medical emergencies encountered by hospital rapid response teams in both community and academic institutions
Improving Failure To Rescue Outcomes
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Author : Kimberlee Marie Jones
language : en
Publisher:
Release Date : 2023
Improving Failure To Rescue Outcomes written by Kimberlee Marie Jones and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023 with Cardiac arrest categories.
Background/Significance: The average annual incidence of in-hospital cardiac arrests from 2008-2017 was approximately 292,000, an increase of 81,000 since previous data was obtained for the years 2003-2007 (Holmberg et al., 2019). Early identification of patient decline and initiation of a Rapid Response Team (RRT) are necessary for improved patient outcomes, decreased length of stay, and decreased mortality (AHRQ, 2018; Andersen et al., 2019; Burke et al., 2022; IHI, 2022). According to the AHRQ (2019), complications of medical care are unavoidable, and it is the responsibility of the health care system to quickly identify and treat those complications. Methods: A literature search was performed for articles published from January 2017 to July 2022 utilizing CINAHL and PubMed. Articles identified training and education, team composition, sociocultural/leadership, and outcome data to improve RRT outcomes. Utilizing Havelock's Phases of Change model, a proposal to improve RRT performance was developed. Conclusion: Ineffective RRT performance contributes to poor patient outcomes and increased mortality. Program evaluation of an RRT identified gaps and contributory factors which provided the basis for change. Existing resources and processes were used to help ensure sustainability. Upon successful implementation, an updated policy, comprehensive education plan, outcome data measures, and ongoing monitoring plan were in place to monitor progress toward improving RRT outcomes.