Application of Medical Information Systems for the detection of high risk patients: Rapid care alerts. Pilot study of the ARA-Son Llàtzer Project;Aplicación de las Técnicas de Información y Comunicación para la detección de pacientes de alto riesgo: Alarmas de rápida asistencia. Estudio piloto del Proyecto ARA-Son Llàtzer

Medicina Intensiva

Volumn 37, Issue 1, 2013, Pages 19-26

  Socias Crespi L ^a   Heras La Calle, G ^b   Estrada Rodriguez V M ^a   Garcia Sanchez A ^a   Ibanez Lucia P ^a  

^a HOSPITAL SON LLÀTZER   (Spain)

^b HOSPITAL UNIVERSITARIO INFANTA LEONOR   (Spain)

Author keywords

Cardiac arrest; Clinical information system; Early warning sign; Hospital mortality; Medical emergency team; Rapid response system

Indexed keywords

AGE DISTRIBUTION; ARTICLE; CLINICAL FEATURE; COHORT ANALYSIS; CONSCIOUSNESS LEVEL; DEFIBRILLATION; HEALTH CARE PLANNING; HEART ARREST; HEART RHYTHM; HIGH RISK PATIENT; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; INFECTION RATE; INTENSIVE CARE UNIT; MEDICAL INFORMATION SYSTEM; MORTALITY; NURSING; OBSERVATIONAL STUDY; PATIENT CODING; PATIENT MONITORING; PILOT STUDY; PREDICTOR VARIABLE; PROGNOSIS; PROSPECTIVE STUDY; RAPID CARE ALERT; RAPID RESPONSE TEAM; RESPIRATORY FAILURE; RISK ASSESSMENT; SEPSIS; SEX DIFFERENCE; SURGICAL WARD; SURVIVAL; VITAL SIGN; WORK SCHEDULE;

AGED; COHORT STUDIES; CRITICAL CARE; FEMALE; HEART ARREST; HOSPITAL INFORMATION SYSTEMS; HUMANS; MALE; PILOT PROJECTS; PROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS;

EID: 84872336986     PISSN: 02105691     EISSN: 15786749     Source Type: Journal    
DOI: 10.1016/j.medin.2012.04.001     Document Type: Article

References (29)

1. Brennan T.A., Leape L.L., Laird N.M., Hebert L., Localio A.R., Lawthers A.G. Incidence of adverse events and neglicence in hospitalised patients: results of the Harvard Medical Practice Study I. N Engl J Med 1991, 234:370-376.
2. Leape L., Brennan T.A., Laird N.M., Lawthers A.G., Localio A.R., Barnes B.A., et al. Nature of adverse events in hospitalised patients: results of the Harvard Medical Practice Study II. N Engl J Med 1991, 324:377-384.
3. Wilson R.M., Runciman W.B., Gibberd R.W., Harrison B.T., Newby L., Hamilton J.D. The Quality in Australian Health Care Study. Med J Aust 1995, 163:458-471.
4. Hillman K.M., Bristow P.J., Chey T., Daffurn K., Jacques T., Norman S.L., et al. Antecedents to hospital deaths. Inter Med J 2001, 31:343-348.
5. Kause J., Smith G., Prytherch D., Parr M., Flabouris A., Hillman K. A comparison of antecedents to cardiac arrests, death and emergency intensive care admissions in Australia and New Zealand, and the United Kingdom-the ACADEMIA study. Resuscitation 2004, 62:275-282. Intensive Care Society (UK); Australian and New Zealand Intensive Care Society Clinicals Trials Group.
6. McQuillan P., Pilkington S., Allan A., Taylor B., Short A., Morgan G., et al. Confidential inquiry into quality of care before admission to intensive care. BMJ 1998, 316:1853-1858.
7. Gómez Tello V., Álvarez Rodríguez J., Núñez Reiz A., González Sánchez J.A., Hernández Abadía de Barbará A., Martínez Fresneda M., et al. Estándares técnicos y funcionales, y proceso de implantación, de un sistema de información clínica en unidades de cuidados intensivos. Med Intensiva 2011, 35:484-496. Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias (SEMICYUC).
8. Cummins R., Chamberlain D., Hazinski M., Nadkarni V., Kloeck W., Kramer E., et al. Recommended guidelines for reviewing, reporting, and conducting research on in-hospital resuscitation: the in-hospital 'Utstein Style'. American Heart Association. Circulation 1997, 95:2213-2239.
9. National Patient Safety Goals Hospital Program 2007. Joint Comission Web Site [acceso 1 Jun 2010]. Disponible en: http://jointcomission.org/PatientSafety.
10. Jones D., George C., Hart G.K., Bellomo R., Martin J. Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Crit Care 2008, 12:R46.
11. Bellomo R., Goldsmith D., Uchino S., Bukmaster J., Hart G., Opdam H., et al. Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates. Crit Care Med 2004, 32:916-921.
12. Buist M., Bernard S., Ngyyen T., Moore G., Anderson J. Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective study. Resucitation 2004, 62:37-141.
13. Winters B.D., Pham J.C., Hunt E.A., Winters B.D., Pham J.C., Hunt E.A., et al. Rapid response systems: a systematic review. Crit Care Med 2007, 35:1238-1243.
14. Hillman K., Chen J., Cretikos M., Bellomo R., Brown D., Doig G., et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet 2005, 365:2091-2097. MERIT study investigators.
15. Chan P.S., Khalid A., Longmore L.S., Berg R.A., Kosiborod M., Spertus J.A. Hospital-wide code rates and mortality before and after implementation of a rapid response team. JAMA 2008, 300:2506-2513.
16. Murias G., Sales B., García-Esquirol O., Blanch L. Telemedicina: mejora de la calidad en la atención de los pacientes críticos desde la fase prehospitalaria hasta el servicio de medicina intensiva. Med Intensiva 2010, 34:46-55.
17. Jones D., Bellomo R., Bates S., Warrillow S., Goldsmith D., Hart G., et al. Long term effect of a medical emergency team on cardiac arrests in a teaching hospital. Crit Care 2005, 6:R808-R810.
18. Buist M., Harrison J., Abaloz E., Van Dyke S. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ 2007, 335:1210-1212.
19. Chan P.S., Krumholz H.M., Nichol G., Nallamothu B.K. Delayed time to defibrillation after in hospital cardiac arrest. N Engl J Med 2008, 358:9-17. American Heart Association National Registry of Cardiopulmonary Resuscitation Investigators.
20. Holanda Peña M.S., Domínguez Artiga M.J., Ots Ruiz E., Lorda de los Ríos M.I., Castellanos Ortega A., Ortiz Melón F. SECI (Servicio Extendido de Cuidados Intensivos): mirando fuera de la UCI. Med Intensiva 2011, 35:349-353.
21. Calvo Herranz E., Mozo Martín M.T., Gordo Vidal F. Implementación de un sistema de gestión en Medicina Intensiva basado en la seguridad del paciente gravemente enfermo durante todo el proceso de hospitalización: Servicio Extendido de Medicina Intensiva. Med Intensiva 2011, 35:354-360.
22. Kellett J., Deane B., Gleeson M. Derivation and validation of a score based on Hypotension, Oxygen saturation, low Temperature, ECG changes and Loss of independence (HOTEL) that predicts early mortality between 15min and 24h after admission to an acute medical unit. Resuscitation 2008, 78:52-58.
23. Smith G.B., Prytherch D.R., Schmidt P.E., Featherstone P.I. Review and performance evaluation of aggregate weighted track and trigger systems. Resuscitation 2008, 77:170-179.
24. Mitchell I.A., McKay H., Van Leuvan C., McCutcheon C., Avard B., Slater N., 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.
25. Chen J., Bellomo R., Hillman K., Flabouris A., Finfer S. The MERIT Study Investigators for the Simpson Centre and the ANZICS Clinical Trial Group Triggers for emergency team activation: a multicenter assessment. J Critical Care 2010, 25:359.e1-359.e7.
26. Ferrer R., Artigas A., Levy M.M., Blanco J., González-Díaz G., Garnacho-Montero J., et al. Improvement in process of care and outcome after a multicenter severe sepsis educational program in Spain. JAMA 2008, 299:2294-2303.
27. Rivers E., Nguyen B., Havstad S., Ressler J., Muzzin A., Knoblich B., et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001, 345:1368-1377.
28. Thiel S.W., Asghar M., Micek S.T., Reichley R.M., Doherty J.A., Kollef M.H. Hospital-wide impact of a standardized order set for the management of bacteremic severe sepsis. Crit Care Med 2009, 37:819-824.
29. Sawyer A.M., Deal E.N., Labelle A.J., Witt C., Thiel S.V., Heard K., et al. Implementation of a real-time computerized sepsis alert in non intensive care unit patients. Crit Care Med 2011, 39:469-473.