Journal Article

The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics.

Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, Happ MB, Devita MA. Quality & safety in health care. 2008;17:377-81.

The adoption of medical emergency teams (METs) has generated significant controversy over their evidence and effectiveness. This study analyzed more than 100 MET calls at a university hospital and discovered that 44% of them were delayed based on pre-established criteria. Investigators found that these call delays were more common on night shifts and were predicted by shift and patient–unit mismatches. The authors suggest that their findings call for attention to factors other than simply nurse staffing ratios when devising policies to promote patient safety.