کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5885503 1150924 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
GuidelinesThe role of the primary care team in the rapid response system★★★
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
GuidelinesThe role of the primary care team in the rapid response system★★★
چکیده انگلیسی

PurposeThe purpose of the study is to evaluate the impact of primary service involvement on rapid response team (RRT) evaluations.Materials and methodsThe study is a combination of retrospective chart review and prospective survey-based evaluation. Data included when and where the activations occurred and the patient's code status, primary service, and ultimate disposition. These data were correlated with survey data from each event. A prospective survey evaluated the primary team's involvement in decision making and the overall subjective quality of the interaction with primary service through a visual analog scale.ResultsWe analyzed 4408 RRTs retrospectively and an additional 135 prospectively. The primary team's involvement by telephone or in person was associated with significantly more transfers to higher care levels in retrospective (P < .01) and prospective data sets. Code status was addressed more frequently in primary team involvement, with more frequent changes seen in the retrospective analysis (P = .01). Subjective ratings of communication by the RRT leader were significantly higher when the primary service was involved (P < .001).ConclusionsActive primary team involvement influences RRT activation processes of care. The RRT role should be an adjunct to, but not a substitute for, an engaged and present primary care team.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Critical Care - Volume 30, Issue 2, April 2015, Pages 353-357
نویسندگان
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