Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests

Anesthesia and Analgesia
Geoffrey K LighthallTodd H Wagner

Abstract

We sought to determine the impact of a rapid response system on cardiac arrest rates and mortality in a United States veteran population. We describe a prospective analysis of cardiac arrests in 9 months before and 27 months after institution of a rapid response system, and retrospective analysis of mortality 3.5 years before the intervention and 27 months after the intervention. The study included all inpatients from a university-affiliated United States Veterans Affairs Medical Center, before and after implementation of a rapid response system, including an educational program, patient calling criteria, and a physician-led medical emergency team. Primary end points were hospital-wide cardiac arrests and mortality rates normalized to hospital discharges. Comparisons of event rates between various time points during the implementation process were made by analysis of variance. Three hundred seventy-eight calls were made to the medical emergency team in the time period studied. Compared with preintervention time points, cardiac arrests were reduced by 57%, amounting to a reduction of 5.6 cardiac arrests per 1000 hospital discharges (P < 0.01). Mortality was reduced during the intervention, but this was attributable to a natural ...Continue Reading

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Jul 1, 1997·Health Affairs·N J Wilson, K W Kizer
Jul 5, 2002·The American Journal of Emergency Medicine·Roberto ManfrediniMassimo Gallerani
Sep 11, 2003·The Medical Journal of Australia·Rinaldo BellomoGeoffrey Gutteridge
Mar 27, 2004·Critical Care Medicine·Michael A DeVitaHenry Wang
Jun 3, 2004·Resuscitation·Gary KenwardLoua Shaikh
Aug 4, 2004·Quality & Safety in Health Care·M A DeVitaUNKNOWN Medical Emergency Response Improvement Team (MERIT)
Jun 21, 2005·Lancet·Ken HillmanUNKNOWN MERIT study investigators
Sep 3, 2005·Critical Care : the Official Journal of the Critical Care Forum·Daryl JonesRinaldo Bellomo
Apr 21, 2006·Critical Care Medicine·Sanjay GalhotraUNKNOWN members of the Medical Emergency Response Improvement Team (MERIT) Committee
Aug 1, 2006·Critical Care Medicine·Michael A DevitaSanjay Galhotra
Oct 5, 2006·JAMA : the Journal of the American Medical Association·Bradford D WintersPeter J Pronovost
Jan 30, 2007·Critical Care : the Official Journal of the Critical Care Forum·Daryl JonesDonna Goldsmith
Mar 21, 2007·Resuscitation·Daryl JonesRinaldo Bellomo
Apr 7, 2007·Critical Care Medicine·Bradford D WintersPeter J Pronovost
Apr 10, 2007·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Richard J BrilliMary McBride
May 15, 2007·The Journal of Trauma·Patrick J OffnerRobin Roberts
Sep 15, 2007·Critical Care Medicine·Michael J DaceyRobert Baute
Nov 22, 2007·JAMA : the Journal of the American Medical Association·Paul J SharekStephen J Roth
Dec 18, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Sumant R RanjiKaveh G Shojania
Jan 4, 2008·The New England Journal of Medicine·Paul S ChanUNKNOWN American Heart Association National Registry of Cardiopulmonary Resuscitation Investigators
Feb 21, 2008·JAMA : the Journal of the American Medical Association·Mary Ann PeberdyUNKNOWN National Registry of Cardiopulmonary Resuscitation Investigators
Dec 4, 2008·JAMA : the Journal of the American Medical Association·Paul S ChanJohn A Spertus
Jul 29, 2009·Archives of Internal Medicine·Paul S ChanUNKNOWN American Heart Association National Registry of Cardiopulmonary Resuscitation (NRCPR) Investigators

❮ Previous
Next ❯

Citations

Jun 17, 2011·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·L ReinhardtE Popp
Feb 2, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Rose S SolomonMichelle D Dannenberg
Oct 8, 2013·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Lisa Dumont, Andrew D Harding
Oct 20, 2015·Resuscitation·Koenraad G MonsieursUNKNOWN ERC Guidelines 2015 Writing Group
Oct 15, 2011·Emergency Medicine Australasia : EMA·Peter JonesNancy Mitchell
Apr 23, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Bradford D Winters, Peter J Pronovost
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Claudio SandroniMassimo Antonelli
May 23, 2015·Anesthesiology Clinics·Monika ChmielewskaAlexander T Hillel
Apr 19, 2011·Resuscitation·Rebecca M Trinkle, Arthas Flabouris
Jul 23, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Jul 24, 2012·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Lisa L KirklandTimothy I Morgenthaler
Dec 28, 2017·Quality Management in Health Care·Alice Gallo de MoraesJeffrey B Jensen
Apr 20, 2014·Critical Care Medicine·Gail SalvatierraKenn B Daratha
Feb 22, 2013·Critical Care Medicine·Bradford D Winters
Feb 1, 2012·AACN Advanced Critical Care·Kimberly ScherrMaureen Haughian
Mar 9, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Tessa L WaltersGeoffrey Kenton Lighthall
Mar 14, 2019·International Anesthesiology Clinics·Charles Chase R SimsJeffrey B Jensen
Aug 20, 2019·Anesthesia and Analgesia·Cameron J RicksJoseph B Rinehart
Mar 29, 2021·Resuscitation·Federico SemeraroKoenraad G Monsieurs
Aug 6, 2021·Journal of Computer-aided Molecular Design·Mazen Y HamedRoza Zaid
Nov 23, 2021·The Cochrane Database of Systematic Reviews·Jennifer McGaugheyLouise Rose

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.