Can an emergency department clinical 'triggers' program based on abnormal vital signs improve patient outcomes?
| Autor: | Jason Imperato, Gary S. Setnik, Leon D. Sanchez, Tyler Mehegan, Daniel J. Henning, John D. Patrick, Chase Bushey |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Respiratory rate Vital signs 03 medical and health sciences Patient Admission 0302 clinical medicine Heart rate Humans Medicine Hospital Mortality 030212 general & internal medicine Aged Retrospective Studies Inpatient care Vital Signs business.industry 030208 emergency & critical care medicine Retrospective cohort study Emergency department Middle Aged Triage Outcome and Process Assessment Health Care Blood pressure Emergency medicine Emergency Medicine Female Emergency Service Hospital business |
| Zdroj: | CJEM. 19:249-255 |
| ISSN: | 1481-8043 1481-8035 |
| DOI: | 10.1017/cem.2016.365 |
| Popis: | BackgroundBecause abnormal vital signs indicate the potential for clinical deterioration, it is logical to make emergency physicians immediately aware of those patients who present with abnormal vital signs.ObjectivesTo determine if a clinical triggers program in the emergency department (ED) setting that utilized predetermined abnormal vital signs to activate a rapid assessment by an emergency physician-led multidisciplinary team had a measurable effect on inpatient hospital metrics.MethodsThe study design was a retrospective pre and post intervention study. The intervention was the implementation of an ED clinical “triggers” program. Abnormal vital sign criteria that warranted a trigger response included: heart rate 130 beats/minutes, respiratory rate 30 breaths/minute, systolic blood pressure ResultsThere was no difference in median days admitted for inpatient care (3.8 v. 4.0 days,p=0.21) or median days spent in a special care unit (5.0 v. 5.6 days,p=0.42) between the groups. There was no difference in the percentage of in-hospital patient deaths (6.0% v. 5.6%,p=0.66) or frequency of upgrade in level of care within 24 hours (4.9% v. 4.0%,p=0.52).ConclusionsIn our study, the implementation of an ED clinical triggers program did not result in a significant change in measured inpatient outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|