Clinical deterioration in hospital inpatients: The need for another paradigm shift

Medical Journal of Australia

Volumn 196, Issue 2, 2012, Pages 97-100

  Jones, Daryl A ^a,b   Dunbar, Nicola J ^c   Bellomo, Rinaldo ^a,b  

^a AUSTIN HEALTH   (Australia)

^b MONASH UNIVERSITY   (Australia)

^c Australian Commission on Safety and Quality in Health Care   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL ASSESSMENT; DETERIORATION; EARLY INTERVENTION; HEALTH CARE MANAGEMENT; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEART ARREST; HOSPITAL PATIENT; HUMAN; MEDICAL DECISION MAKING; MORTALITY; NOTE; PRACTICE GUIDELINE; RAPID RESPONSE TEAM; RISK ASSESSMENT; TERMINAL CARE;

ADVANCE CARE PLANNING; AUSTRALIA; EMERGENCY MEDICAL SERVICES; HEART ARREST; HOSPITAL MORTALITY; HOSPITAL RAPID RESPONSE TEAM; HOSPITALIZATION; HUMANS;

EID: 84863400859     PISSN: 0025729X     EISSN: 13265377     Source Type: Journal    
DOI: 10.5694/mja11.10865     Document Type: Note

References (39)

1. Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ 2007; 335: 1210-1212.
2. Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team. JAMA 2008; 300: 2506-2513.
3. McGrath RB. In-hospital cardiopulmonary resuscitation-after a quarter of a century. Ann Emerg Med 1987; 16: 1365-1368.
4. Peberdy MA, Ornato JP, Larkin GL, et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA 2008; 299: 785-792.
5. Schein RMH, Hazday N, Pena M, et al. Clinical antecedents to in-hospital cardiopulmonary arrests. Chest 1990; 98: 1388-1392.
6. Buist MD, Jarmolowski E, Burton PR, et al. Recognising clinical instability in hospital patients before cardiac arrest or unplanned admission to intensive care. A pilot study in a tertiary-care hospital. Med J Aust 1999; 171: 22-25.
7. Hodgetts TJ, Kenward G, Vlackonikolis I, et al. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation 2002; 54: 115-123.
8. Cohn AC, Wilson WM, Yan B, et al. Analysis of clinical outcomes following inhospital adult cardiac arrest. Intern Med J 2004; 34: 398-402.
9. Jones DA, Bates S, Warrillow S, et al. Long term effect of a medical emergency team on cardiac arrests in a teaching hospital. Crit Care 2005; 9: R808-R815.
10. Lee A, Bishop G, Hillman KM, Daffrun K. The medical emergency team. Anaesth Intensive Care 1995; 23: 183-186.
11. Bellomo R, Goldsmith D, Uchino S, et al. A prospective before-and-after trial of a medical emergency team. Med J Aust 2003; 179: 283-287.
12. Jones D, George C, Bellomo R, et al. Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Crit Care 2008; 12: R46.
13. Jones DA, De Vita M, Bellomo R. Current concepts: rapid-response teams. N Engl J Med 2011; 365: 139-146.
14. Hillman K, Chen J, Cretikos M, et al; MERIT study investigators. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet 2005; 365: 2091-2097.
15. Bell MD, Konrad F, Granath A, et al. Prevalence and sensitivity of MET-criteria in a Scandinavian University Hospital. Resuscitation 2006; 70: 66-73.
16. Jones D, Bellomo R, DeVita MA. Effectiveness of the medical emergency team: the importance of dose. Crit Care 2009; 13: 313.
17. Trinkle RM, Flabouris A. Documenting rapid response system afferent limb failure and associated patient outcomes. Resuscitation 2011; 82: 810-814.
18. Downey AW, Quach JL, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for acute change in conscious state or arrhythmias. Crit Care Med 2008; 36: 477-481.
19. Quach JL, Downey AW, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. J Crit Care 2008; 23: 325-231.
20. Bagshaw SM, Mondor EE, Scouten C, et al; for the Capital Health Medical Emergency Team Investigators. A survey of nurses' beliefs about the medical emergency team system in a Canadian tertiary hospital. Am J Crit Care 2010; 19: 74-83.
21. Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching hospital. Qual Saf Health Care 2006; 15: 427-432.
22. Calzavacca P, Licari E, Tee A, et al. Features and outcome of patients receiving multiple medical emergency team reviews. Resuscitation 2010; 81: 1509-1515.
23. Buist MD, Moore GE, Bernard SA, et al. Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ 2002; 324: 387-390.
24. Casamento AJ, Dunlop C, Jones D, Duke G. Improving the documentation of medical emergency team reviews. Crit Care Resusc 2008; 10: 24-29.
25. Parr MJ, Hadfield JH, Flabouris A, et al. The medical emergency team: 12 month analysis of reasons for activation, immediate outcome and not-forresuscitation orders. Resuscitation 2001; 50: 39-44.
26. Drennan K, Hicks P, Hart GK. Intensive care resources and activity: Australia and New Zealand 2007/2008. Melbourne: ANZICS, 2010. http://www.anzics. com.au/core/reports (accessed Aug 2011).
27. Duke GJ, Graco M, Santamaria J, Shann F. Validation of the hospital outcome prediction equation model for monitoring clinical performance. Intern Med J 2009; 39: 283-289.
28. Jones DA, McIntyre T, Baldwin I, et al. The medical emergency team and endof-life care: a pilot study. Crit Care Resusc 2007; 9: 151-156.
29. Australian Commission on Safety and Quality in Health Care. National consensus statement: essential elements for recognising and responding to clinical deterioration. Sydney: ACSQHC, 2010. http://www.safetyandquality. gov.au/internet/safety/publishing.nsf/Content/F329E60CC4149933CA25777 40009229C/$File/national_consensus_statement.pdf (accessed May 2011).
30. The Austin Health Post-Operative Surveillance Team (POST) Investigators. Methodology for a study of structured co-management of high-risk postoperative patients in a teaching hospital. Crit Care Resusc 2010; 12: 277-286.
31. Kerridge RK, Saul WP. The medical emergency team, evidence-based medicine and ethics. Med J Aust 2003; 179: 313-315.
32. Detering KM, Hancock AD, Reade MC, Silvester W. The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ 2010; 340: c1345.
33. Jones S, Mullally M, Ingleby S, et al. Bedside electronic capture of clinical observations and automated clinical alerts to improve complains with an Early Warning Score protocol. Crit Care Resusc 2011; 13: 83-88.
34. Horswill MS, Preece MHW, Hill A, et al. Human factors research regarding observation charts: research project overview. Sydney: ACSQHC, 2010. http://www.safetyandquality.gov.au/internet/safety/publishing.nsf/Content/RaRtCD_EBA-GOC (accessed Dec 2011).
35. Cahill H, Jones A, Herkes R, et al. Introduction of a new observation chart and education programme is associated with higher rates of vital sign ascertainment in hospital wards. BMJ Qual Saf 2011; 20: 791-796.
36. Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. Resuscitation 2010; 81: 658-666.
37. DeVita M. Medical emergency teams: deciphering clues to crises in hospitals. Crit Care 2005; 9: 325-326.
38. Jones D, Duke G, Green J, et al. Medical emergency team syndromes and an approach to their management. Crit Care 2006; 10: R30.
39. DeVita MA, Schaefer J, Lutz J, et al. Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator. Qual Saf Health Care 2005; 14: 326-331.