Effect of an education programme on the utilization of a medical emergency team in a teaching hospital

Internal Medicine Journal
Daryl JonesRinaldo Bellomo

Abstract

Medical Emergency Teams (MET) have been developed to identify, review and manage acutely unwell ward patients. Previous studies have suggested that there may be obstacles to the utilization and activation of the MET. To determine the effect of a detailed education programme on the rate of utilization of the MET system 3.5 years after its introduction in a University teaching hospital. Prospective interventional study involving a detailed programme of education, feedback and decision support for nursing and medical staff given before, during and after implementation of a MET system. We measured the number of MET calls per month for both medical and surgical patients for 109 250 consecutive admissions to the acute care campus of Austin Health from August 2000 to June 2004. Overall activation of the MET increased from 25 calls per month to a peak of 79 calls per month over the study period (average increase of one MET call/month). After standardization for monthly admissions, the increase in MET utilization for surgical patients (increase by 1.13 MET/1000 admissions/month) was 4.9-fold greater than for medical patients (increase by 0.23 MET/1000 admissions/month; P < 0.0001). At the peak level of activity (April 2004), the MET was...Continue Reading

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Citations

Jan 30, 2007·Critical Care : the Official Journal of the Critical Care Forum·Daryl JonesDonna Goldsmith
Feb 8, 2008·Critical Care : the Official Journal of the Critical Care Forum·Augustine TeeRinaldo Bellomo
Oct 15, 2009·Critical Care : the Official Journal of the Critical Care Forum·Daryl JonesMichael A DeVita
Aug 3, 2010·Resuscitation·Paolo CalzavaccaRinaldo Bellomo
Jul 1, 2015·Internal Medicine Journal·K WhiteC M Sullivan
Aug 5, 2008·Pediatric Clinics of North America·James Tibballs, Elise W van der Jagt
Mar 21, 2007·Resuscitation·Daryl JonesRinaldo Bellomo
Aug 16, 2012·Scandinavian Journal of Caring Sciences·Marie HäggströmLisbeth Kristiansen
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Nov 30, 2013·Resuscitation·Angus HusbandDaryl A Jones
Mar 10, 2017·British Journal of Hospital Medicine·Daryl JonesRinaldo Bellomo
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