Significance Of Early Intervention In Activating The Rapid Response System
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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.
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.
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.
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 Systems
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Author : Jacinda Lea Bunch
language : en
Publisher:
Release Date : 2014
Rapid Response Systems written by Jacinda Lea Bunch and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Cardiac arrest categories.
Prevention of in-hospital cardiac arrest (IHCA) is critical to reducing morbidity and mortality as both the rates of return to pre-hospital functional status and overall survival after IHCAs are low. Early identification of patients at risk and prompt clinical intervention are vital patient safety strategies to reduce IHCA. One widespread strategy is the Rapid Response System (RRS), which incorporates early risk identification, expert consultation, and key clinical interventions to bedside nurses caring for patients in clinical deterioration. However, evidence of RRS effectiveness has been equivocal in the patient safety literature. This study utilized a holistic Realistic Evaluation (RE) framework to identify important clinical environment (context) and system triggers (mechanisms) to refine our understanding of an RRS to improve local patient emoutcomesem and develop a foundation for building the next level of evidence within RE research. The specific aims of the study are to describe a RRS through context, mechanism, and outcome variables; explore differences in RRS outcomes between medical and surgical settings, and identify relationships between RRS context and mechanism variables for patient outcomes. Study RRS data was collected retrospectively from a 397-bed community hospital in the Midwest; including all adult inpatient RRS events from May 2006 (2 weeks post-RRS implementation) through November 2013. RRS events were analyzed through descriptive, comparative, and proportional odds (ordinal) logistic regression analyses. The study found the majority of adult inpatient RRS events occurred in medical settings and most were activated by staff nurses. Significant differences were noted between RRS events in medical and surgical settings; including patient status changes in the preceding 12 hours, event trigger patterns, and immediate clinical outcomes. Finally, proportional odds logistic regression revealed significant relationships between context and mechanism factors with changes in the risk of increased clinical severity immediately following at RRS event. RE was utilized to structure a preliminary study to explore the complex variables and relationships surrounding RRSs and patient outcomes. Further exploration of settings, changes in clinical status, staffing and resource access, and the ways nurses use RRSs is necessary to promote the early identification of vulnerable patients and strengthen hospital patient safety strategies.
Rapid Response Systems Fluid Resuscitation An Issue Of Critical Care Clinics E Book
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Author : Michael DeVita
language : en
Publisher: Elsevier Health Sciences
Release Date : 2018-03-05
Rapid Response Systems Fluid Resuscitation An Issue Of Critical Care Clinics E Book written by Michael DeVita 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 2018-03-05 with Medical categories.
This issue of Critical Care Clinics focuses on Rapid Response Systems and Fluid Resuscitation, with topics including: RRS Now; Triggering Criteria: Big Data; Triggering Criteria: Continuous Monitoring; Measuring instability; Surgery/Trauma RRT; Obstetric RRT; Difficult airway rapid response teams; and Sepsis rapid response teams.
Health Systems Science E Book
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Author : Susan Skochelak
language : en
Publisher: Elsevier Health Sciences
Release Date : 2020-05-06
Health Systems Science E Book written by Susan Skochelak 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 2020-05-06 with Medical categories.
The first textbook devoted to this emerging area, Health Systems Science now brings you fully up to date with today’s key issues and solutions. This increasingly important branch of health care explores how health care is delivered, how health care professionals work together to deliver that care, and how the health system can improve patient care and health care delivery. Along with basic and clinical sciences, health systems science is rapidly becoming a crucial 'third pillar' of medical science, with an emphasis on understanding the role of human factors, systems engineering, leadership, and patient improvement strategies that will help transform the future of health care and ensure greater patient safety. In this 2nd Edition, new chapters, new exercises, and new information help you acquire the knowledge and skills you need for success in today’s challenging healthcare system. The first comprehensive text for mastering health systems science, offering practical coverage of all of the factors in the lives of patients that influence their well-being, the structures and processes of the health system itself, societal factors, communication, and information technology. NEW to this edition: New content on systems thinking, ethics and legal issues, and international care models further define and address this new important component of health care education; additional exercises; and expanded information on the patient experience and private practice. Complete coverage of patient safety, quality improvement, value in health care, teamwork, stewardship of health care resources, population health, clinical informatics, care coordination, leadership, and health care financing/reform. Patient improvement strategies incorporate checklists, information technology, team training, and more. A consistent chapter template provides clear coverage of each topic, including Learning Objectives, Chapter Outline, Core Chapter Content, Summary, Questions for Reflection, and Annotated Bibliography and References. Developed by the American Medical Association’s Accelerating Change in Medical Education Consortium, and authored by a team that includes AMA staff members working with individuals from the Consortium member schools.
Disaster Management Enabling Resilience
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Author : Anthony Masys
language : en
Publisher: Springer
Release Date : 2014-11-03
Disaster Management Enabling Resilience written by Anthony Masys and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-11-03 with Technology & Engineering categories.
The present work will discuss relevant theoretical frameworks and applications pertaining to enabling resilience within the risk, crisis and disaster management domain. The contributions to this book focus on resilience thinking along 4 broad themes: Urban Domain; Cyber Domain; Organizational/Social domain; and Socio-ecological domain. This book would serve as a valuable reference for courses on risk, crisis and disaster management, international development, social innovation and resilience. This will be of particular interest to those working in the risk, crisis and disaster management domain as it will provide valuable insights into enabling resilience. This book will be well positioned to inform disaster management professionals, policy makers and academics on strategies and perspectives regarding disaster resilience.
Reviving Broadly Shared Productivity Growth In Spain
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Author : OECD
language : en
Publisher: OECD Publishing
Release Date : 2024-06-05
Reviving Broadly Shared Productivity Growth In Spain written by OECD and has been published by OECD Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-06-05 with categories.
Spain has been confronted with weak wage and productivity growth for several decades. This report provides an overview of the role that labour market policies as well as other policies can play in reviving broadly shared productivity growth in Spain. To set the scene, it starts with documenting the decline in broadly shared productivity growth and its underlying mechanisms.
Potter Perry S Fundamentals Of Nursing Anz Edition Ebook
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Author : Jackie Crisp
language : en
Publisher: Elsevier Health Sciences
Release Date : 2020-10-15
Potter Perry S Fundamentals Of Nursing Anz Edition Ebook written by Jackie Crisp 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 2020-10-15 with Medical categories.
Now in its 6th edition, this trusted reference for nursing students supports the development of safe, effective and person-centred practice. The text has been comprehensively revised by nursing leaders and experts from across the spectrum of clinical practice, education, research and health policy settings; and a highly experienced editorial team, which includes Jackie Crisp, Clint Douglas, Geraldine Rebeiro and Donna Waters. Chapters of Potter & Perry’s Fundamentals of Nursing, 6e engage students with contemporary concepts and clinical examples, designed to build clinical reasoning skills. Early chapters introduce frameworks such as Fundamentals of Care and cultural safety, as ways of being and practising as a nurse. These frameworks are then applied in clinical and practice context chapters throughout. Reflection points in each chapter encourage curiosity and creativity in learning, including the importance of self-care and self-assessment. 79 clinical skills over 41 chapters updated to reflect latest evidence and practice standards, including 4 new skills Fully aligned to local learning and curriculum outcomes for first-year nursing programs Aligned to 2016 NMBA Registered Nurse Standards for Practice and National Safety and Quality Health Service Standards Easy-to-understand for beginning students Focus on person-centred practice and language throughout 44 clinical skills videos (including 5 NEW) available on Evolve, along with additional student and instructor resources Accompanied by Fundamentals of nursing clinical skills workbook 4e An eBook included in all print purchases Additional resources on Evolve: • eBook on VitalSource Instructor resources: Testbank Critical Reflection Points and answers Image collection Tables and boxes collection PowerPoint slides Students and Instructor resources: 44 Clinical Skills videos Clinical Cases: Fundamentals of nursing case studies Restructured to reflect current curriculum structure New chapters on end-of-life care and primary care New online chapter on nursing informatics aligned to the new National Nursing and Midwifery Digital Health Capabilities Framework, including a new skill and competency assessment tool