Late Rescue Collaborative: Reducing Non-ICU Arrests.
Pediatr Crit Care Med
; 21(6): 513-519, 2020 06.
Article
en En
| MEDLINE
| ID: mdl-31851129
ABSTRACT
OBJECTIVE:
To reduce the frequency of non-ICU arrests through the implementation of an intramural collaborative focused on patient deterioration.DESIGN:
Prospective quality improvement project.SETTING:
Single-center, free-standing, tertiary children's hospital. PATIENTS All patients admitted to acute care units.INTERVENTIONS:
The Late Rescue Collaborative was formed in 2014 to monitor compliance with hospital escalation protocols and evaluate episodes of patient deterioration. The collaborative is a multidisciplinary team of physicians, nurses, and respiratory care providers. Three monthly meetings occur 1) individual acute care unit-based meetings to evaluate trends and performance; 2) hospital-wide multidisciplinary whole group meetings to review hospital trends in deterioration and share lessons learned; and 3) steering committee to determine areas of focus. Based on these three meetings, unit- and hospital-based interventions have been put in place to improve recognition of deterioration and promote early rescue. MEASUREMENTS AND MAINRESULTS:
Rates of rapid response team activations, unplanned transfers, and non-ICU arrest are reported. Non-ICU arrest rates fell from a baseline of 0.31 per 1,000 non-ICU patient days to a new centerline of 0.11 and sustained for 36 months. Days between non-ICU arrests increased from a baseline of 15.5 days in year 2014 to a new centerline of 61.5 days and sustained for 37 months. Mortality following non-ICU arrests fell from four in 2014 and 2015 to zero in years 2016-2018.CONCLUSION:
The Late Rescue Collaborative is an effective tool to improve patient safety by reducing non-ICU arrests.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Equipo Hospitalario de Respuesta Rápida
/
Paro Cardíaco
Tipo de estudio:
Observational_studies
Límite:
Child
/
Humans
Idioma:
En
Revista:
Pediatr Crit Care Med
Asunto de la revista:
PEDIATRIA
/
TERAPIA INTENSIVA
Año:
2020
Tipo del documento:
Article