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Search results for "Quality and Safety Professionals"
ED Manag. 2011;23:78-80.
Journal Article > Study
Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.
Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.
Patients should improve, not worsen, after hospital admission, and therefore safety interventions such as rapid response teams (RRTs) have been developed specifically to detect and manage unexpected clinical deterioration. This retrospective review of 152 unplanned transfers to the intensive care unit (ICU) at a teaching hospital found that only 15% of unplanned transfers could have been prevented by different management after admission. The most common reason for unplanned ICU transfer was incorrect triage (i.e., the patient should have been admitted directly to the ICU from the emergency department). This study challenges the utility of RRTs in preventing adverse clinical outcomes, and instead identifies the emergency department–inpatient handover as a possible area of focus for quality improvement interventions.
Journal Article > Review
Ranji SR, Auerbach AD, Hurd CJ, O'Rourke K, Shojania KG. J Hosp Med. 2007;2:422-432.
Rapid response systems (RSS) have been widely endorsed and implemented, but controversy remains regarding their benefit on clinical outcomes. This systematic review of 13 published studies found no overall benefit of RRS on inpatient mortality, cardiac arrests, or unanticipated intensive care unit transfer. As noted in a prior commentary, most published studies had significant methodologic problems that limited their generalizability. While some more recent single-center studies of RRS have achieved impressive results, the authors of this review call for further research into the effectiveness of specific RRS models and the patient populations that may benefit most from RRS availability.
Special or Theme Issue
Frush KS, Hohenhaus SM, eds. Clin Ped Emerg Med. 2006;7:213-277.
This special issue provides 11 articles on various aspects of ensuring safety in pediatric emergency care, including the use of rapid response teams and family involvement in care.
Journal Article > Study
Mistry KP, Turi J, Hueckel R, Mericle JM, Meliones JN. Clin Ped Emerg Med. 2006;7:241-247.
The authors discuss the implementation of a rapid response team for pediatric patient care and introduce the concept of a team that proactively monitors patients at risk of clinical deterioration rather than waiting to assess the patient when they have been alerted to a problem.
Hua V. San Francisco Chronicle. February 17, 2006:B6.
This article reports on a study conducted by the Discrimination Research Center that found non-English speakers were not connected to a staff member who spoke the language in about half of calls to the emergency department.