| Patient safety on the otolaryngology service: the role of an established rapid response system. | |
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MedLine Citation:
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PMID: 19955464 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To study the medical emergencies occurring on a tertiary otolaryngology service identified using a rapid response system (RRS). DESIGN: Retrospective chart review of RRS activations during 21 months. SETTING: Specialised otolaryngology care unit within the University of Pittsburgh Medical Center Presbyterian/Montefiore Hospital, a tertiary, academic, teaching hospital in the USA. Intervention(s): None. RESULTS: 1171 unit admissions. Unit mortality was 5.1/1000 admissions. 53 patients were involved in 67 RRS activations (4/53 deaths). 32 of 67 events were due to respiratory derangements, most commonly pneumonia. 18 of 67 events were due to cardiovascular abnormalities, most commonly hypertension and myocardial infarction. 11 of 67 events were secondary to mental status changes, several of which were related to adverse drug events. 6 of 67 events were secondary to acute bleeding. 23 of 67 events occurred within 24 h of patient transfer/admission, 14 of those after operations. RRS activation was a marker for in-hospital death (RR 42.2, 95% CI 7.9 to 225.2) compared with that in patients not activating the RRS. CONCLUSIONS: Although otolaryngology care units attempt to prevent adverse events, emergencies still occur. RRSs identify deteriorating otolaryngology patients who are at increased risk for mortality. RRSs are an efficient mechanism of intervention during a medical emergency. RRSs provide a convenient method of identifying medical/system errors and educational opportunities. |
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Authors:
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C L Oliver; M A Devita; C J Dunwoody; J T Johnson; J C Sok; R L Simmons |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Quality & safety in health care Volume: 18 ISSN: 1475-3901 ISO Abbreviation: Qual Saf Health Care Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136980 Medline TA: Qual Saf Health Care Country: England |
Other Details:
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Languages: eng Pagination: 496-9 Citation Subset: H |
Affiliation:
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Head and Neck Surgical Specialists, 799 E. Hampden Ave. Suite 530, Englewood, CO 80113, USA. christopher.oliver@healthonecares.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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