Early Experience of Medical Alert System in a Rural Training Hospital: a Pilot Study
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Medical emergency teams (METs) have shown their merit in preventing unexpected cardiac arrest. However, it might be impractical for small- or medium-sized hospitals to operate an MET due to limited manpower and resources. In this study, we sought to evaluate the feasibility of a medical alert system (MAS) that alerts all doctors involved in patient care of patient deterioration via text message using smart-phones. Methods: The MAS was test-operated from July 2015 to September 2015, in five general wards with a high incidence of cardiac arrest. The number of cardiac arrests was compared to that of 2014. The indication for activation of MAS was decided by the intensive care unit committee of the institution, which examined previous reports on MET. Results: During the three-month study period, 2,322 patients were admitted to the participating wards. In all, MAS activation occurred in 9 patients (0.39%). After activation, 7 patients were admitted to the intensive care unit. Two patients (0.09%) experienced cardiac arrest. Of 13,129 patients admitted to the ward in 2014, there were 50 cases (0.38%) of cardiac arrest (p = 0.009). Conclusions: It is feasible to use MAS to prevent unexpected cardiac arrest in a general ward.
Abstract
Background: Medical emergency teams (METs) have shown their merit in preventing unexpected cardiac arrest. However, it might be impractical for small- or medium-sized hospitals to operate an MET due to limited manpower and resources. In this study, we sought to evaluate the feasibility of a medical alert system (MAS) that alerts all doctors involved in patient care of patient deterioration via text message using smart-phones. Methods: The MAS was test-operated from July 2015 to September 2015, in five general wards with a high incidence of cardiac arrest. The number of cardiac arrests was compared to that of 2014. The indication for activation of MAS was decided by the intensive care unit committee of the institution, which examined previous reports on MET. Results: During the three-month study period, 2,322 patients were admitted to the participating wards. In all, MAS activation occurred in 9 patients (0.39%). After activation, 7 patients were admitted to the intensive care unit. Two patients (0.09%) experienced cardiac arrest. Of 13,129 patients admitted to the ward in 2014, there were 50 cases (0.38%) of cardiac arrest (p = 0.009). Conclusions: It is feasible to use MAS to prevent unexpected cardiac arrest in a general ward.
참고문헌 (12)
- Schein RM, "Clinical antecedents to in-hospital cardiopulmonary arrest", Chest, 98, pp.1388~1392 (1990)
- Smith AF, "Can some in-hospital cardio-respiratory arrests be prevented? A prospective survey", Resuscitation, 37, pp.133~137 (1998)
- Buist MD, "Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital : preliminary study", BMJ, 324, pp.387~390 (2002)
- Bellomo R, "A prospective before-andafter trial of a medical emergency team", Med J Aust, 179, pp.283~287 (2003)
- Bellomo R, "Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates", Crit Care Med, 32, pp.916~921 (2004)
- 곽현정, "The Extended Rapid Response System: 1-Year Experience in a University Hospital", Journal of Korean Medical Science, 29(3), pp.423~430 (2014), 대한의학회
- 주혜진, "일개 종합병원의 조기대응팀의 활동에 사용되는 스크리닝 시스템의 유용성", Acute and Critical Care, 27(3), pp.151~156 (2012), 대한중환자의학회
- Alam N, "The impact of the use of the Early Warning Score(EWS)on patient outcomes : a systematic review", Resuscitation, 85, pp.587~594 (2014)
- Tobin AE, "Medical emergency teams are associated with reduced mortality across a major metropolitan health network after two years service:a retrospective study using government administrative data", Crit Care, 16, pp.R210~ (2012)
- Dighe AS, "Analysis of laboratory critical value reporting at a large academic medical center", Am J Clin Pathol, 125, pp.758~764 (2006)
- Howanitz PJ, "Laboratory critical values policies and procedures : a college of American Pathologists Q-Probes Study in 623 institutions", Arch Pathol Lab Med, 126, pp.663~669 (2002)
- Time to Intervene? A review of patients who underwent cardopulmonary resuscitation as a result of an inhospital cardiorespiratory arrest, "Findlay GP", National Confidentail Enquiry into Patient Outcome and Death, 1~125 (2012)