Developing and evaluating the success of a family activated medical emergency team: a quality improvement report
| Autor: | Uma R. Kotagal, Ken Tegtmeyer, Mary Jo Giaccone, Julie Zix, Stephen E. Muething, Derek S. Wheeler, Kristie Griffith, Richard J. Brilli, Kathy Dressman, Patrick W. Brady |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Quality management
business.industry Communication Health Policy Workload Hospitals Pediatric medicine.disease Quality Improvement Intensive care unit MET call law.invention Test (assessment) Hospital medicine Patient safety law Intervention (counseling) Humans Medicine Family Patient Safety Medical emergency Emergencies business Health Education Hospital Rapid Response Team |
| Zdroj: | BMJ Quality & Safety. 24:203-211 |
| ISSN: | 2044-5423 2044-5415 |
| DOI: | 10.1136/bmjqs-2014-003001 |
| Popis: | Family-activated medical emergency teams (MET) have the potential to improve the timely recognition of clinical deterioration and reduce preventable adverse events. Adoption of family-activated METs is hindered by concerns that the calls may substantially increase MET workload. We aimed to develop a reliable process for family activated METs and to evaluate its effect on MET call rate and subsequent transfer to the intensive care unit (ICU).The setting was our free-standing children's hospital. We partnered with families to develop and test an educational intervention for clinicians and families, an informational poster in each patient room and a redesigned process with hospital operators who handle MET calls. We tracked our primary outcome of count of family-activated MET calls on a statistical process control chart. Additionally, we determined the association between family-activated versus clinician-activated MET and transfer to the ICU. Finally, we compared the reason for MET activation between family calls and a 2:1 matched sample of clinician calls.Over our 6-year study period, we had a total of 83 family-activated MET calls. Families made an average of 1.2 calls per month, which represented 2.9% of all MET calls. Children with family-activated METs were transferred to the ICU less commonly than those with clinician MET calls (24% vs 60%, p0.001). Families, like clinicians, most commonly called MET for concerns of clinical deterioration. Families also identified lack of response from clinicians and a dismissive interaction between team and family as reasons.Family MET activations were uncommon and not a burden on responders. These calls recognised clinical deterioration and communication failures. Family activated METs should be tested and implemented in hospitals that care for children. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|