TORNA ALL’ELENCO

Impact of a colour-code monitoring plan on Rapid Response System activation: a before and after analysis study in Resuscitation

2022
ASL Asti

Tipo pubblicazione

Conference Abstract

Autori/Collaboratori (5)Vedi tutti...

Bosso S
ASLAT, Asti, Italy
Bertocchini S
ASLAT, Asti, Italy
Forno G
ASLAT, Asti, Italy

et alii...

Abstract

Purpose of the study: inpatient monitoring is the cornerstone for an early and effective activation of the Rapid Response System (RRS) (1–3). Aim of our study is to assess the effect of a new colour-code monitoring plan on RRS activation and patient’s outcome. Materials and methods: RRT calls were retrospectively collected from January 1, 2014 to December 31, 2021. Setting: a 500 bed hospital. On January 1st, 2018 a monitoring plan based on a multi parametric colour code system was introduced. Before this date all RRT calls are considered as controls while after this date as cases. Data collected: number of in-hospital cardiac arrest (IHCA) and other emergency, Medical Emergency Team (MET) dose (RRS calls/1000 admitted patients per year), incidence of IHCA (number of IHCA/1000 admitted patients per year), age, gender, type of admission (medical or surgical), alert code (yellow/red/general alert), personnel who activated RRS (nurse/physician/other), ICU admission, SAPSII, hospital mortality. Results: 1373 RRS calls were considered as controls (IHCA 18.4%), and 1397 as cases (IHCA 21.2%). MET dosewas 21.2 vs 23.3 while IHCA incidence was 3.9 vs 4.9. Both the groups were similar in age and gender. Other data are summarized in table 1. (Table Presented) (1) Maharaj et al. doi 10.1186/s13054-015-0973-y. (2) Lyons PG et al. doi: 10.1016/j.resuscitation.2018.05.013. (3) Vandegrift MA et al. doi: 10.1097/CCE.0000000000000448. Conclusions: the introduction of a colour-code monitoring plan based on multi parametric system modified RRS activation and improved patients’ outcome.

DOI : 10.1016/S0300-9572(22)00433-6

Keywords

adult; conference abstract; controlled study; doctor nurse relation; female; gender; heart arrest; hospital mortality; hospital patient; human; incidence; major clinical study; male; outcome assessment; rapid response team; resuscitation; retrospective study; Simplified Acute Physiology Score;