Resuscitation
Volume 81, Issue 1 , Pages 31-35 , January 2010

The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—A follow-up study

  • Paolo Calzavacca

      Affiliations

    • Department of Intensive Care, Austin Hospital, Melbourne, Australia
    • Department of Medicine, Austin Hospital, Melbourne, Australia
    • ,
  • Elisa Licari

      Affiliations

    • Department of Intensive Care, Austin Hospital, Melbourne, Australia
    • Department of Medicine, Austin Hospital, Melbourne, Australia
    • ,
  • Augustine Tee

      Affiliations

    • Department of Intensive Care, Austin Hospital, Melbourne, Australia
    • Department of Medicine, Austin Hospital, Melbourne, Australia
    • ,
  • Moritoki Egi

      Affiliations

    • Department of Intensive Care, Austin Hospital, Melbourne, Australia
    • Department of Medicine, Austin Hospital, Melbourne, Australia
    • ,
  • Andrew Downey

      Affiliations

    • Department of Intensive Care, Austin Hospital, Melbourne, Australia
    • Department of Medicine, Austin Hospital, Melbourne, Australia
    • ,
  • Jon Quach

      Affiliations

    • Department of Intensive Care, Austin Hospital, Melbourne, Australia
    • Department of Medicine, Austin Hospital, Melbourne, Australia
    • ,
  • Anja Haase-Fielitz

      Affiliations

    • Department of Intensive Care, Austin Hospital, Melbourne, Australia
    • Department of Medicine, Austin Hospital, Melbourne, Australia
    • Department of Nephrology and Intensive Care, Charité University Hospital, Berlin, Germany
    • ,
  • Michael Haase

      Affiliations

    • Department of Intensive Care, Austin Hospital, Melbourne, Australia
    • Department of Medicine, Austin Hospital, Melbourne, Australia
    • Department of Nephrology and Intensive Care, Charité University Hospital, Berlin, Germany
    • ,
  • Rinaldo Bellomo

      Affiliations

    • Department of Intensive Care, Austin Hospital, Melbourne, Australia
    • Department of Medicine, Austin Hospital, Melbourne, Australia
    • Corresponding Author InformationCorresponding author at: Department of Intensive Care, Austin Hospital, Studley Rd, Heidelberg, Victoria 3084, Australia. Tel.: +61 3 9496 5992; fax: +61 3 9496 3932.

Received 12 July 2009 ,Revised 15 September 2009 ,Accepted 22 September 2009.

References 

  1. MERIT Study Investigators . Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097
  2. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. Qual Saf Health Care. 2004;13:145–151
  3. Bellomo R, Goldsmith D, Russell S, Uchino S. Post-operative serious adverse events in a teaching hospital: a prospective study. MJA. 2002;176:216–218
  4. Harrison GA, Jacques TC, Kilborn G, McLaws ML. The prevalence of recordings of the signs of critical conditions and emergency responses in hospital wards—the SOCCER study. Resuscitation. 2005;65:149–157
  5. DeVita MA, Bellomo R, Hillman K, et al. Findings of the first consensus conference on medical emergency teams. Crit Care Med. 2006;34:2463–2478
  6. Buist M, Jarmalowski E, Burton , et al. Recognising clinical instability in hospital patients before cardiac arrest or unplanned admission to intensive care. Med J Aust. 1999;23:183–186
  7. Sandroni C, Nolan J, Cavallaro F, Antonelli M. In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival. Intens Care Med. 2007;33:237–245
  8. Cretikos M, Chen J, Hillman K, et al. The objective medical emergency team activation criteria: a case-control study. Resuscitation. 2007;73:62–72
  9. Jones DA, Duke G, Green J, et al. Medical emergency team syndromes and an approach to their management. Crit Care. 2006;10:R30–R34
  10. Quach JL, Downey AW, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. J Crit Care. 2008;23:325–331
  11. Downey AW, Quach JL, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for acute change in conscious state or arrhythmias. Crit Care Med. 2008;36:477–481
  12. Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37:148–153
  13. Buist M. The rapid response team paradox: why doesn’t anyone call for help?. Crit Care Med. 2008;36:634–636
  14. Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Crit Care Med. 2007;35:2568–2575
  15. Fresco C, Carinci F, Maggioni AP, et al. Very early assessment of risk for inhospital death among 11,483 patients with acute myocardial infarction. GISSI investigators. Am Heart J. 1999;138:1058–1064
  16. Díez-Tejedor E, Fuentes B. Acute care in stroke: the importance of early intervention to achieve better brain protection. Cerebrovasc Dis. 2004;17:130–137
  17. McNicholl PB. The golden hour and prehospital trauma care. Injury. 1995;26:215–216
  18. Lee A, Bishop G, Hillman K, Daffurn K. The medical emergency team. Anaesth Intens Care. 1995;23:183–186
  19. Casamento AJ, Dunlop C, Jones DA, Duke G. Improving the documentation of medical emergency team reviews. Crit Care Resus. 2008;10:29
  20. Buist M, Moore GE, Bernard SA, et al. Effects of a medical emergency team on reduction of cardiac arrests in hospital: preliminary study of incidence of and mortality from unexpected. BMJ. 2002;324:387–390
  21. Kenward G, Castle N, Hodgetts T, Shaikh L. Evaluation of a medical emergency team one year after implementation. Resuscitation. 2004;61:257–263
  22. Bristow PJ, Hillman KH, Chey T, et al. Rates of in-hospital arrests, deaths and intensive care admissions: the effect of a medical emergency team. Med J Aust. 2000;173:236–240
  23. Jones DA, McIntyre T, Baldwin I, et al. The medical emergency team and end-of-life care: a pilot study. Crit Care Resus. 2007;9:151–156
  24. Chen J, Flabouris A, Bellomo R, et al. The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study. Resuscitation. 2008;79:391–397
  25. Cretikos MA, Chen J, Hillman KM, et al. The effectiveness of implementation of the medical emergency team (MET) system and factors associated with use during the MERIT study. Crit Care Resus. 2007;9:206–212
  26. Jones DA, Bates S, Warrillow S, et al. Effect of an education programme on the utilization of a medical emergency team in a teaching hospital. Intern Med J. 2006;36:231–236
  27. Buist M, Bellomo R. MET: the medical emergency team or the medical education team?. Crit Care Resus. 2004;4:88–91

☆ A Spanish translated version of the abstract of this article appears as Appendix in the final online version at doi:10.1016/j.resuscitation.2009.09.026.

PII: S0300-9572(09)00502-4

doi: 10.1016/j.resuscitation.2009.09.026

Resuscitation
Volume 81, Issue 1 , Pages 31-35 , January 2010

Article Tools

* Image Usage & Resolution