Comparison of the Between the Flags calling criteria to the MEWS, NEWS and the electronic Cardiac Arrest Risk Triage (eCART) score for the identification of deteriorating ward patients

Resuscitation

Volumn 123, Issue , 2018, Pages 86-91

  Green, Malcolm ^a   Lander, Harvey ^a   Snyder, Ashley ^b   Hudson, Paul ^a   Churpek, Matthew ^b   Edelson, Dana ^b  

^a Clinical Excellence Commission   (Australia)

^b UNIVERSITY OF CHICAGO   (United States)

Author keywords

Decision support; Deteriorating patients; Early warning scores; MEWS; NEWS; Rapid response systems

Indexed keywords

ADULT; ADVERSE EVENT; ADVERSE OUTCOME; ALGORITHM; ARTICLE; BETWEEN THE FLAGS CALLING CRITERIA; CARDIOVASCULAR SYSTEM EXAMINATION; COMPARATIVE STUDY; CONTROLLED STUDY; DEATH; ELECTRONIC HEALTH RECORD; FEMALE; HEART ARREST; HOSPITAL ADMISSION; HUMAN; MACHINE LEARNING; MAJOR CLINICAL STUDY; MALE; MEASUREMENT ACCURACY; MODIFIED EARLY WARNING SCORE; MULTICENTER STUDY (TOPIC); NATIONAL EARLY WARNING SCORE; PATIENT TRANSPORT; PRIORITY JOURNAL; RANDOM FOREST; RAPID RESPONSE TEAM; RETROSPECTIVE STUDY; WARD; AGED; AREA UNDER THE CURVE; CLINICAL TRIAL; DETERIORATION; EARLY DIAGNOSIS; HOSPITAL MORTALITY; MIDDLE AGED; MORTALITY; MULTICENTER STUDY; ORGAN DYSFUNCTION SCORE; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; ALGORITHMS; AREA UNDER CURVE; CLINICAL DETERIORATION; EARLY DIAGNOSIS; ELECTRONIC HEALTH RECORDS; HEART ARREST; HOSPITAL MORTALITY; HUMANS; MIDDLE AGED; ORGAN DYSFUNCTION SCORES; PATIENT TRANSFER; RETROSPECTIVE STUDIES; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY;

EID: 85034647934     PISSN: 03009572     EISSN: 18731570     Source Type: Journal    
DOI: 10.1016/j.resuscitation.2017.10.028     Document Type: Article

References (38)

1. Brennan, T.A., Leape, L.L., Laird, N.M., et al. Incidence of adverse events and negligence in hospitalised patients: results of the Harvard Medical Practice Study I. N Engl J Med 324 (1991), 370–377.
2. Wilson, R.M., Runciman, W.B., Gibberd, R.W., et al. The quality in australian health care study. Med J Aust 163 (1995), 458–476.
3. Davis, P., Lay-Yee, R., Briant, R., et al. Adverse events in New Zealand public hospitals I: occurrence and impact. N Z Med J, 115, 2002, 271.
4. Baker, G.R., Norton, P.G., Flintoft, V., et al. The canadian adverse events study: the incidence of adverse events among hospital patients in Canada. CMAJ 170 (2004), 1678–1686.
5. Ball, C., Kirby, K., Williams, S., Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomised population based study. BMJ, 327(7422 November), 2003, 1014.
6. England, K., Bion, J.F., Introduction of medical emergency teams in Australia and New Zealand: a multicentre study. Crit Care, 12, 2008, 151.
7. Steel, A.C., Reynolds, S.F., The growth of rapid response systems. Jt Comm J Qual Patient Saf 34 (2008), 489–495.
8. Winters, B.D., Pham, J., Pronovost, P.J., Rapid response teams — walk, don't run. JAMA 296 (2006), 1645–1647.
9. Lee, A., Bishop, G., Hillman, K.M., Daffurn, K., The medical emergency team. Anaesth Intensive Care 23 (1995), 183–186.
10. DeVita, M.A., Bellomo, R., Hillman, K., et al. Findings of the first consensus conference on medical emergency teams. Crit Care Med 34 (2006), 2463–2478.
11. Chatterjee, M.T., Moon, J.C., Murphy, R., McCrea, D., The OBS chart: an evidence based approach to re-design of the patient observation chart in a district general hospital setting. Postgrad Med J 81 (2005), 663–666.
12. Subbe, C.P., Davies, R.G., Williams, E., Rutherford, P., Gemmell, L., Effect of introducing the Modified Early Warning score on clinical outcomes, cardio-pulmonary arrests and intensive care utilisation in acute medical admissions. Anaesthesia, 58, 2003, 775803.
13. Van Leuvan, C., Mitchell, I., Missed opportunities? An observational study of vital sign measurements. Crit Care Resusc 10:2 (2008), 111–115 12.
14. Hughes, C., Pain, C., Braithwaite, J., Hillman, K., ‘Between the Flags’: implementing a rapid response system at scale. BMJ Quality Safety 23:9 (2014), 714–717.
15. Subbe, C.P., Kruger, M., Rutherford, P., Gemmel, L., Validation of a modified Early Warning Score in medical admissions. Qjm 94:10 October (2001), 521–526.
16. Smith, G.B., Prytherch, D.R., Meredith, P., Schmidt, P.E., Featherstone, P.I., The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death. Resuscitation 84:4 April (2013), 465–470.
17. Preece, M.H., Hill, A., Horswill, M.S., Watson, M.O., Supporting the detection of patient deterioration: observation chart design affects the recognition of abnormal vital signs. Resuscitation 83:9 September (2012), 1111–1118.
18. Elliott, D., Allen, E., Perry, L., Fry, M., Duffield, C., Gallagher, R., et al. Clinical user experiences of observation and response charts: focus group findings of using a new format chart incorporating a track and trigger system. BMJ Quality Safety 24:1 January (2015), 65–75.
19. Churpek, M.M., Yuen, T.C., Winslow, C., Robicsek, A.A., Meltzer, D.O., Gibbons, R.D., et al. Multicenter development and validation of a risk stratification tool for ward patients. Am J Respir Crit Care Med 190:6 September (2014), 649–655.
20. Jarvis, S.W., Kovacs, C., Briggs, J., Meredith, P., Schmidt, P.E., Featherstone, P.I., et al. Are observation selection methods important when comparing early warning score performance?. Resuscitation 31:90 May (2015), 1–6.
21. Kause, J., Smith, G., Prytherch, D., Parr, M., Flabouris, A., Hillman, K., A comparison of antecedents to cardiac arrests, deaths and emergency intensive care admissions in Australia and New Zealand, and the United Kingdom—the ACADEMIA study. Resuscitation 62:3 September (2004), 275–282.
22. Cretikos, M., Chen, J., Hillman, K., Bellomo, R., Finfer, S., Flabouris, A., Merit Study Investigators. The objective medical emergency team activation criteria: a case–control study. Resuscitation 73:1 April (2007), 62–72.
23. Gao, H., McDonnell, A., Harrison, D.A., Moore, T., Adam, S., Daly, K., et al. Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. Intensive Care Med 33 (2007), 667–679.
24. Cuthbertson, B.H., Smith, G.B., A warning on early-warning scores!. Br J Anaesth 98 (2007), 704–706.
25. Pain, C., Green, M., Duff, C., et al. Between the flags: implementing a safety net system At scale to recognise and manage deteriorating patients In the New South Wales public health system. Int J Quality Safety 29:February (1) (2017), 130–136.
26. Jacques, T., Harrison, G.A., McLaws, M., Kilborn, G., Signs of critical conditions and emergency responses (SOCCER): a model for predicting adverse events in the inpatient setting. Resuscitation 69:2 (2006), 175–183.
27. Chen, J., Ou, L., Flabouris, A., Hillman, K., Bellomo, R., Parr, M., Impact of a standardized rapid response system on outcomes in a large healthcare jurisdiction. Resuscitation 107:October (2016), 47–56.
28. Loekito, E., Bailey, J., Bellomo, R., Hart, G.K., Hegarty, C., Davey, P., et al. Common laboratory tests predict imminent death in ward patients. Resuscitation 84:3 March (2013), 280–285.
29. Loekito, E., Bailey, J., Bellomo, R., Hart, G.K., Hegarty, C., Davey, P., et al. Common laboratory tests predict imminent medical emergency team calls, intensive care unit admission or death in emergency department patients. Emerg Med Australas 25:2 April (2013), 132–139.
30. Khurana, H.S., Groves, R.H., Simons, M.P., Martin, M., Stoffer, B., Kou, S., et al. Real-Time automated sampling of electronic medical records predicts hospital mortality. Am J Med(March), 2016.
31. Prytherch, D.R., Smith, G.B., Schmidt, P., Featherstone, P.I., Stewart, K., Knight, D., et al. Calculating early warning scores—a classroom comparison of pen and paper and hand-held computer methods. Resuscitation 70:2 August (2006), 173–178.
32. Schein, R.M., Hazday, N., Pena, M., Ruben, B.H., Sprung, C.L., Clinical antecedents to in-hospital cardiopulmonary arrest. Chest 98:6 March (1990), 1388–1392.
33. Buist, M.D., Jarmolowski, E., Burton, P.R., Bernard, S.A., Waxman, B.P., Anderson, J., 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 Australia 171:1 July (1999), 22–25.
34. Chen, J., Bellomo, R., Flabouris, A., Hillman, K., Finfer, S., MERIT Study Investigators for the Simpson Centre, ANZICS Clinical Trials Group: the relationship between early emergency team calls and serious adverse events. Crit Care Med 37:1 January (2009), 148–153.
35. Jones, D.A., Bagshaw, S.M., Barrett, J., et al. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. Crit Care Med 40 (2012), 91–98 03.
36. Chen, J., Flabouris, A., Bellomo, R., Hillman, K., Finfer, S., The medical emergency team system and not-for-resuscitation orders: results from the MERIT study. Resuscitation 79 (2008), 391–397.
37. Vazquez, R., Gheorghe, C., Grigoriyan, A., Palvinskaya, T., Amoateng-Adjepong, Y., Manthous, C.A., Enhanced end-of-life care associated with deploying a rapid response team: a pilot study. J Hosp Med 4 (2009), 449–452.
38. Churpek, M.M., Yuen, T.C., Edelson, D.P., Risk stratification of hospitalized patients on the wards. CHEST J 143:6 June (2013), 1758–1765.