Rapid response teams can identify adverse events in patients they see, most not reported to incident reporting system.
BMJ Qual Saf. 2015 Jun 8; [Epub ahead of print].
Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort.
Amaral AC, McDonald A, Coburn NG, et al. BMJ Qual Saf. 2015 Jun 8; [Epub ahead of print].
There is a consensus in the safety field that organizations must use multiple methods of detecting errors and adverse events, as individual approaches vary in their ability to identify different types of safety issues.Rapid response systems (RRSs) have been widely deployed to detect and stabilize deteriorating hospitalized patients, and this study investigated whether analysis of RRS activations could be used to identify preventable hazards. Systematic review of patients seen by the RRS revealed that almost 20% had experienced an adverse event, 80% of these were preventable, and most were not reported to the institution's incident reporting system. Hospitals should consider formal review of RRS activation as a triggerfor identifying adverse events.
Using Medical Emergency Teams to detect preventable adverse events.
Iyengar A, Baxter A, Forster AJ. Crit Care. 2009;13:R126.
Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.
Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.
Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.
Joffe AR, Anton NR, Burkholder SC. Arch Pediatr Adolesc Med. 2011;165:419-423.
STUDYView all related resources...
A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.
Li P, Stelfox HT, Ghali WA. Am J Med. 2011;124:860-867.