Abstract:
PURPOSE:To evaluate the impact of implementation of a dedicated intensivist-led medical emergency team (IL-MET) on mortality in patients admitted to the intensive care unit (ICU). METHODS:All adult ward admissions to the ICU between July 2002 and December 2009 were reviewed (n=1920) after excluding readmissions and admissions for <24 h. IL-MET hours were defined as 8:00-15:59 (Monday to Friday). The following periods were analysed: period 1: 1 July 2002-31 August 2004 (control); period 2: 1 September 2004-11 February 2007 (partial MET without dedicated intensivist); and period 3: 12 February 2007-31 December 2009 (hospital-wide IL-MET). RESULTS:During all three periods, there were no significant differences in length of stay or mortality (IL-MET vs non-IL-MET hours, p>0.1 for all). On multivariate analysis, Acute Physiology and Chronic Health Evaluation (APACHE) II score and age were independently associated with mortality in all three periods (p<0.05 for all). During period 3, there was a non-significant trend towards decreased mortality if admitted during IL-MET hours (OR 0.73, 95% CI 0.51 to 1.03, p=0.08). During period 3, there was a non-significant trend towards decreased mortality if admitted during IL-MET hours (OR 0.73, 95% CI 0.51 to 1.03, p=0.08). However, this result likely reflects the observed increase in mortality during non-IL MET hours rather than improved mortality during IL-MET hours. CONCLUSION In a single centre experience, implementation of an IL-MET did not reduce the rate of in-hospital death or lengths of stay.
journal_name
BMJ Qual Safjournal_title
BMJ quality & safetyauthors
Karvellas CJ,de Souza IA,Gibney RT,Bagshaw SMdoi
10.1136/bmjqs-2011-000393subject
Has Abstractpub_date
2012-02-01 00:00:00pages
152-9issue
2eissn
2044-5415issn
2044-5423pii
bmjqs-2011-000393journal_volume
21pub_type
杂志文章abstract::Progress in reducing diagnostic errors remains slow partly due to poorly defined methods to identify errors, high-risk situations, and adverse events. Electronic trigger (e-trigger) tools, which mine vast amounts of patient data to identify signals indicative of a likely error or adverse event, offer a promising metho...
journal_title:BMJ quality & safety
pub_type: 杂志文章
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journal_title:BMJ quality & safety
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journal_title:BMJ quality & safety
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journal_title:BMJ quality & safety
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journal_title:BMJ quality & safety
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2014-05-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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journal_title:BMJ quality & safety
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doi:10.1136/bmjqs-2012-001706
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2017-03-01 00:00:00
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journal_title:BMJ quality & safety
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journal_title:BMJ quality & safety
pub_type: 杂志文章,随机对照试验
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更新日期:2017-09-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs-2012-001089
更新日期:2013-03-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs-2014-003467
更新日期:2015-08-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs-2012-001202
更新日期:2012-12-01 00:00:00
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更新日期:2013-06-01 00:00:00
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更新日期:2019-04-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章,评审
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更新日期:2011-04-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章,评审
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更新日期:2012-07-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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更新日期:2018-08-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
doi:10.1136/bmjqs-2019-009734
更新日期:2020-02-01 00:00:00
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更新日期:2011-07-01 00:00:00
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journal_title:BMJ quality & safety
pub_type: 杂志文章
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