RESUMO
This study explored the trajectory of patients who remained on a general unit after medical emergency team activation. Of those who had a second activation within 24 hours, 80% occurred within 12 hours of the baseline activation. Chest pain and recent intensive care unit discharge were associated with having a second activation. There were statistically, not clinically, significant associations between mean vital signs and second activations; however, the patterns of change may be clinically useful.
Assuntos
Equipe de Respostas Rápidas de Hospitais , Unidades de Terapia Intensiva , Admissão do Paciente , Dor no Peito/etiologia , Registros Eletrônicos de Saúde/estatística & dados numéricos , Feminino , Humanos , Estudos Longitudinais , Masculino , Alta do Paciente , Estudos Prospectivos , Fatores de Tempo , Sinais Vitais/fisiologiaRESUMO
A quality improvement initiative was undertaken to reduce restraint use in 4 acute care hospitals within a single health system. A variety of initiatives and interventions were used including the following: implementation of multidisciplinary rounds on restrained patients, increased availability of restraint alternatives, development of unit-based restraint champions, and education of both staff and health care providers about restraints. The health care system has maintained a quarterly restraint prevalence rate of less than 2.26% with 1 variant.