Patient Outcomes Associated With Delayed Rapid Response System Activation
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Patient Outcomes Associated With Delayed Rapid Response System Activation
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Author : Ricardo M. Padilla
language : en
Publisher:
Release Date : 2018
Patient Outcomes Associated With Delayed Rapid Response System Activation written by Ricardo M. Padilla and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Emergency medical personnel categories.
Purpose: The purpose of the dissertation study was to determine the difference in survival and length of stay (LOS) between patients who experienced a delay in Rapid Response System (RRS) activation and those patients who had no delay. Rationale: There is evidence to support that the RRS is often not activated in a timely manner potentially leading to negative patient outcomes. Background: Delaying treatment for in-hospital clinical deterioration has been associated with Serious Adverse Events (SAEs), including increased mortality, protracted LOS during hospitalization, and significant increased financial costs. The RRS was created as a hospital-wide approach to prevent SAEs; however, there are often delays in activation of the system. Findings: During the study period, 1,086 RRS activations occurred. Delayed RRS activations occurred in 325 cases and non-delayed RRS activations occurred in 766 cases. Eighty-five percent of patients survived hospitalization regardless of experiencing a delay or not. Delay in RRS activation was significantly associated with an increase in length of hospitalization and a higher likelihood of not surviving hospitalization. Implications: Nurses play an important role in the early detection and intervention of clinical deterioration and are commonly the first health care providers to notice a change in a patient's condition. This study confirms that delayed RRS activation occurs frequently and exposes patients to increased LOS and mortality during hospitalization. Given these findings, targeting nursing interventions for early identification and timely activation of the RRS can improve patient outcomes.
Textbook Of Rapid Response Systems
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Author : Michael A. DeVita
language : en
Publisher: Springer
Release Date : 2017-07-04
Textbook Of Rapid Response Systems written by Michael A. DeVita and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-04 with Medical categories.
The latest edition of this text is the go-to book on rapid response systems (RRS). Thoroughly updated to incorporate current principles and practice of RRS, the text covers topics such as the logistics of creating an RRS, patient safety, quality of care, evaluating program results, and engaging in systems research. Edited and written by internationally recognized experts and innovators in the field, Textbook of Rapid Response Systems: Concepts and Implementation, Second Edition is a valuable resource for medical practitioners and hospital administrators who want to implement and improve a rapid response system.
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.
Oncologic Critical Care
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Author : Joseph L. Nates
language : en
Publisher: Springer
Release Date : 2019-10-30
Oncologic Critical Care written by Joseph L. Nates and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-10-30 with Medical categories.
This major reference work is the most comprehensive resource on oncologic critical care. The text reviews all significant aspects of oncologic ICU practices, with a particular focus on challenges encountered in the diagnosis and management of the critically ill cancer patient population. Comprised of over 140 chapters, the text explores such topics as the organization and management of an oncologic ICU, diseases and complications encountered in the oncologic ICU, multidisciplinary care, surgical care, transfusion medicine, special patient populations, critical care procedures, ethics, pain management, and palliative care. Written by worldwide experts in the field, Oncologic Critical Care is a valuable resource for intensivists, advance practice providers, nurses, and other healthcare providers, that will help close significant knowledge and educational gaps within the realm of medical care for critically ill cancer patients.
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.
Strategies To Improve Cardiac Arrest Survival
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2015-09-29
Strategies To Improve Cardiac Arrest Survival written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-09-29 with Medical categories.
Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.
Rapid Response Team Education In Improving Bedside Nurses Knowledge And Skills
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Author : Cherry Lynn Maglangit
language : en
Publisher:
Release Date : 2015
Rapid Response Team Education In Improving Bedside Nurses Knowledge And Skills written by Cherry Lynn Maglangit and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with Medicine categories.
Rapid response system (RRS) is considered a powerful tool in patient safety (Simmes, et al., 2013). It is a process where critical care expertise is brought to the patient`s bedside. It is an initiative designed to prevent patient deaths and to improve patient outcomes (Institute of Healthcare Improvement, 2011). The practice issue is, at the medical-surgical floors at a large medical center in one hospitals of Northeastern New York, there is a failure to rescue on their medical-surgical patients secondary to issues concerning delays in activating the rapid response team and delays in recognizing patients` signs and symptoms of deterioration by the medical-surgical nurses. The purpose of this project is to determine if rapid response team (RRT) education will improve bedside nurses` knowledge and skills in activating the team as evidenced by an increase of RRT activation and to determine if RRT education will enhance bedside nurses` clinical decision making in activating the team.
Primary Angioplasty
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Author : Timothy J Watson
language : en
Publisher: Springer
Release Date : 2018-07-13
Primary Angioplasty written by Timothy J Watson and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-13 with Medical categories.
This book is open access under a CC BY 4.0 license. This quick-reference handbook offers a concise and practical review of key aspects of the treatment of ST-segment elevation myocardial infarction (STEMI) in the era of primary percutaneous coronary intervention (PPCI). In the context of STEMI, PPCI is the preferred mode of emergency revascularization. Access to PPCI is rapidly increasing and is now routinely practiced in both general and specialist hospitals and there has been a recent emphasis on developing STEMI networks to enhance and expedite the referral pathway. This coupled with concurrent developments to enhance the safety and efficacy of the PPCI procedure has heralded an era where STEMI interventions are increasingly considered an important subspecialty within interventional cardiology. Written by leading cardiologists who have been instrumental in the adoption of PPCI in their respective institutions, the book provides junior and senior cardiologists alike with insightful and thought-provoking tips and tricks to enhance the success of PPCI procedures, which may in turn translate into direct improvements in outcomes. The book is also relevant for healthcare providers and emergency department physicians.
National Early Warning Score News
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Author : Royal College of Physicians of London
language : en
Publisher:
Release Date : 2012
National Early Warning Score News written by Royal College of Physicians of London and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Acute diseases categories.
Textbook Of Patient Safety And Clinical Risk Management
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Author : Liam Donaldson
language : en
Publisher: Springer Nature
Release Date : 2020-12-14
Textbook Of Patient Safety And Clinical Risk Management written by Liam Donaldson and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-12-14 with Medical categories.
Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.
