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Patient safety on the otolaryngology service: the role of an established rapid response system.

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101136980 Publication Model: Print Cited Medium: Internet ISSN: 1475-3901 (Electronic) Linking ISSN: 14753898 NLM ISO Abbreviation: Qual Saf Health Care
    • بيانات النشر:
      Original Publication: London : BMJ Pub. Group, c2002-
    • الموضوع:
      Safety Management*; Critical Care/*methods ; Otolaryngology/*standards; Humans ; Quality Assurance, Health Care ; Retrospective Studies
    • نبذة مختصرة :
      Objective: To study the medical emergencies occurring on a tertiary otolaryngology service identified using a rapid response system (RRS).
      Design: Retrospective chart review of RRS activations during 21 months.
      Setting: Specialised otolaryngology care unit within the University of Pittsburgh Medical Center Presbyterian/Montefiore Hospital, a tertiary, academic, teaching hospital in the USA.
      Intervention(s): None.
      Results: 1171 unit admissions. Unit mortality was 5.1/1000 admissions. 53 patients were involved in 67 RRS activations (4/53 deaths). 32 of 67 events were due to respiratory derangements, most commonly pneumonia. 18 of 67 events were due to cardiovascular abnormalities, most commonly hypertension and myocardial infarction. 11 of 67 events were secondary to mental status changes, several of which were related to adverse drug events. 6 of 67 events were secondary to acute bleeding. 23 of 67 events occurred within 24 h of patient transfer/admission, 14 of those after operations. RRS activation was a marker for in-hospital death (RR 42.2, 95% CI 7.9 to 225.2) compared with that in patients not activating the RRS.
      Conclusions: Although otolaryngology care units attempt to prevent adverse events, emergencies still occur. RRSs identify deteriorating otolaryngology patients who are at increased risk for mortality. RRSs are an efficient mechanism of intervention during a medical emergency. RRSs provide a convenient method of identifying medical/system errors and educational opportunities.
    • الموضوع:
      Date Created: 20091204 Date Completed: 20110310 Latest Revision: 20140730
    • الموضوع:
      20240829
    • الرقم المعرف:
      10.1136/qshc.2007.024810
    • الرقم المعرف:
      19955464