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Impact of a Local Low-Cost Ward-Based Response System in a Canadian Tertiary Care Hospital
Joint Authors
Blotsky, Andrea
Mardini, Louay
Jayaraman, Dev
Source
Critical Care Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-17
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Medical emergency teams (METs) or rapid response teams (RRTs) facilitate early intervention for clinically deteriorating hospitalized patients.
In healthcare systems where financial resources and intensivist availability are limited, the establishment of such teams can prove challenging.
Objectives.
A low-cost, ward-based response system was implemented on a medical clinical teaching unit in a Montreal tertiary care hospital.
A prospective before/after study was undertaken to examine the system’s impact on time to intervention, code blue rates, and ICU transfer rates.
Results.
Ninety-five calls were placed for 82 patients.
Median time from patient decompensation to intervention was 5 min (IQR 1–10), compared to 3.4 hours (IQR 0.6–12.4) before system implementation (p<0.001).
Total number of ICU admissions from the CTU was reduced from 4.8/1000 patient days (±2.2) before intervention to 3.3/1000 patient days (±1.4) after intervention (IRR: 0.82, p=0.04 (CI 95%: 0.69–0.99)).
CTU code blue rates decreased from 2.2/1000 patient days (±1.6) before intervention to 1.2/1000 patient days (±1.3) after intervention (IRR: 0.51, p=0.02 (CI 95%: 0.30–0.89)).
Conclusion.
Our local ward-based response system achieved a significant reduction in the time of patient decompensation to initial intervention, in CTU code blue rates, and in CTU to ICU transfers without necessitating additional usage of financial or human resources.
American Psychological Association (APA)
Blotsky, Andrea& Mardini, Louay& Jayaraman, Dev. 2016. Impact of a Local Low-Cost Ward-Based Response System in a Canadian Tertiary Care Hospital. Critical Care Research and Practice،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1099507
Modern Language Association (MLA)
Blotsky, Andrea…[et al.]. Impact of a Local Low-Cost Ward-Based Response System in a Canadian Tertiary Care Hospital. Critical Care Research and Practice No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1099507
American Medical Association (AMA)
Blotsky, Andrea& Mardini, Louay& Jayaraman, Dev. Impact of a Local Low-Cost Ward-Based Response System in a Canadian Tertiary Care Hospital. Critical Care Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1099507
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099507