Reduction of in hospital Cardiac arrest rates in Intensive care equipped NSW hospitals in association with Implementation of Between the Flags Rapid Response System

2020 ◽  
Author(s):  
Deepak Bhonagiri ◽  
Harvey Lander ◽  
Malcolm Green ◽  
Lahn Straney ◽  
Daryl Jones ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Intensive Care ◽  
Rapid Response ◽  
Rapid Response System ◽  
Arrest Rates ◽  
Response System ◽  
Hospital Cardiac Arrest

In-hospital cardiac arrest epidemiology in a mature rapid response system

2017 ◽  
Vol 78 (3) ◽  
pp. 137-142 ◽  
Author(s):  
Daryl Jones ◽  
Inga Mercer ◽  
Melodie Heland ◽  
Karen Detering ◽  
Sam Radford ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Rapid Response ◽  
Rapid Response System ◽  
Response System ◽  
Hospital Cardiac Arrest

Abstract 153: Does the Revision of Resuscitation Guidelines Improve the Outcome of In-Hospital Cardiac Arrest?

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Akihiro Miyake ◽  
Hiroshi Nonogi ◽  
Yoshihisa Fujimoto ◽  
Shinsuke Fujiwara ◽  
Takaki Naito ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Survival Rate ◽  
Rapid Response ◽  
Rapid Response System ◽  
International Consensus ◽  
Response System ◽  
Shockable Rhythm ◽  
Resuscitation Guidelines ◽  
General Wards ◽  
Hospital Cardiac Arrest

Background: Resuscitation guidelines have been improved every five years using ILCOR international consensus and outcomes for out-of-hospital cardiac arrest improved. However, it remained unknown whether the outcome of in-hospital cardiac arrest has improved. The purpose of this research is to compare the outcomes of multicenter registrations in Japan and to consider the role of rapid response system (RRS). Methods: We compared the two multicenter prospective registrations for adult in-hospital cardiac arrest conducted in Japan. We compared the outcome of Japanese Registry of CPR (J-RCPR,12 hospitals) conducted in the "Guideline 2005" era and Japanese Registry for Survey Of in-hospital Resuscitation Trial (J-RESORT,8 hospitals) conducted in the "Guidelines 2010" era. We searched the number of hospitals participating in the rapid response system multicenter collaborative research (RRS) conducted in Japan. Results: J-RCPR had 491 cases, mean age 71 ± 15 years old, male 63%(311/491), J-RESORT 284 cases, mean age 72 ± 17 years old, male 68%(193/284). ROSC rate was 64.7% (318/491), 77.5% (220/284), respectively (p<0.05). The survival rate after 24 hours was 49.8% (245/491), 50.7% (144/284) (NS), the survival rate after 30 days was 27.8% (137/491), 33.1% (94/284) (NS), and the favorable neurological outcome rate (CPC 1 or CPC 2) was 21.4% (105/491), 22.9% (65/284) (NS), respectively. The proportion of witnessed cardiac arrest was 77.2% (379/491), 81.7% (232/284) (NS), the location of incidence in general wards was 54.0% (265/491), 46.1% (131/284) (NS), and the shockable rhythm was 28.1% (138/491), 22.5% (64/284) (NS), respectively. In both registries, the median interval from the occurrence of cardiac arrest to the initiation of resuscitation was 0 min. The proportion of participating hospitals to RRS was only 6 facilities in 2013 and increased to 41 facilities in 2016, but still less than 1% of the total number of hospitals in Japan. Conclusion: This study showed no improvement in the outcome of in-hospital cardiac arrest and very few hospitals using RRS during the past 10 years. To improve the outcome of the in-hospital cardiac arrest, it is necessary to investigate the nation-wide status of in-hospital cardiac arrest and the effectiveness of RRS.

scholarly journals Evaluation of the SpO2/FiO2 ratio as a predictor of intensive care unit transfers in respiratory ward patients for whom the rapid response system has been activated

PLoS ONE ◽  
2018 ◽  
Vol 13 (7) ◽  
pp. e0201632 ◽  
Author(s):  
Won Gun Kwack ◽  
Dong Seon Lee ◽  
Hyunju Min ◽  
Yun Young Choi ◽  
Miae Yun ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Rapid Response ◽  
Rapid Response System ◽  
Response System

scholarly journals A Somogy Megyei Kaposi Mór Oktató Kórház által bevezetett gyors reagálású rendszer hatása a kórházi mortalitásra

2021 ◽  
Vol 162 (20) ◽  
pp. 782-789
Author(s):  
János Fogas ◽  
Rita Koroseczné Pavlin ◽  
Krisztina Szabó ◽  
Eszter Héra ◽  
Imre Repa ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Intensive Care ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
Statistical Methods ◽  
Circulatory System ◽  
Rapid Response System ◽  
Icu Patients ◽  
Response System ◽  
Cross Tabulation

Összefoglaló. Bevezetés: Általánosságban elmondható, hogy a fekvőbeteg-ellátást nyújtó egészségügyi intézmények intenzív terápiás osztályain (ITO) jelennek meg a legsúlyosabb kórképekkel és a legmagasabb halálozási aránnyal bíró esetek, rendszerint megkésve. Eltérően az ITO-tól, más betegellátó osztályokon előfordulhat, hogy nem észlelik megfelelően és időben a betegek olyan állapotváltozásait, melyek előre jelzik például a szívleállást vagy a keringési rendszer várható összeomlását. Ennek kiküszöbölésére jelenthet megoldást az úgynevezett gyors reagálású rendszer (RRS), melynek segítségével csökkenthető a kórházon belüli mortalitás. Célkitűzés: A Somogy Megyei Kaposi Mór Oktató Kórház a teljes intézményre kiterjedően a 2016. évtől alkalmazza az RRS-t. A jelen tanulmány célja a kórházi mortalitás csökkentésével kapcsolatos első eredmények bemutatása. Módszer: Vizsgálatunkban az ITO-ra került betegek adatbázisán alapuló kereszttáblás, illetve nemparametrikus statisztikai módszereket alkalmaztuk. Eredmények: A statisztikai próbák eredményei alapján megállapítottuk, hogy az intenzív ellátás felvételi diagnózisai (légzési elégtelenség, neurológiai ok, reanimáció, szepszis, szív/keringési, egyéb ok) között statisztikailag igazolható eltérés tapasztalható (p = 3,815e-14) RRS alkalmazásával és a nélkül. Az RRS-sel felvettek között magasabb arányt képviseltek a légzési elégtelenséggel és szepszissel érkező, súlyosabb betegek, ugyanakkor kisebbnek bizonyult a reszuszcitáltak száma. Megbeszélés: Az RRS nélküli időszak 2,983%-os intézményi mortalitása az RRS-időszakban 2,932%-ra csökkent, azonban a beküldő osztályonkénti adatokban jelentős különbségeket tapasztaltunk. 21 fekvőbeteg-osztály közül 19 osztály esetén csökkent a mortalitás az RRS bevezetését követően. Következtetés: Arra a megállapításra jutottunk, hogy a nemzetközi szakirodalom alapján bevezetett RRS növelte az egészségügyi ellátás hatékonyságát, és ezáltal sikerült csökkenteni az intézményi szintű mortalitást. Orv Hetil. 2021; 162(20): 782–789. Summary. Introduction: In general, the cases with the most severe diseases and highest mortality rate are admitted to the intensive care units (ICU) usually late. Contrary to ICU, in other in-patient units it can happen that those changes in patients’ condition, which pre-indicate, e.g., cardiac arrest or collapse of circulatory system, are not noticed properly and in time. To eliminate this, the so-called rapid response system (RRS) can be the solution, by the help of which hospital mortality can be reduced. Objectve: The RRS has been used all institution-wide in Somogy County Kaposi Mór Teaching Hospital from 2016. The aim of this study is to demonstrate the results concerning hospital mortality cutdown. Method: Our analysis was based on ICU patients’ database and we applied cross-tabulation and non-parametric statistical methods. Results: We appointed, that among admission diagnosises to ICU (respiration insufficiency, neurological reason, reanimation, sepsis, cardiac/circulatory condition, other), statistically verifiable discrepancy can be experienced (p = 3.815e-14) with using RRS or without it. Among those admitted via RRS, more severe patients with respiration insufficiency and septic conditions were represented in higher rate, while the number of the admitted ones after resuscitation has decreased. Discussion: Hospital mortality rate of 2.983% without using RRS decreased into 2.932% in the period of using RRS, though we observed remarkable differences in data of non-ICU in-patient departments. Mortality has reduced in 19 in-patient departments out of 21, after implementing RRS. Conclusion: To sum it up, we identified that RRS implemented on the basis of international references has increased the efficiency of healthcare and owing to it, institution-level mortality has successfully decreased. Orv Hetil. 2021; 162(20): 782–789.

Reducing Cardiopulmonary Arrest Rates in a Three-Year Regional Rapid Response System Collaborative

2013 ◽  
Vol 39 (7) ◽  
pp. 328-336 ◽  
Author(s):  
Mark J. Rosen ◽  
Andrea J. Hoberman ◽  
Rafael E. Ruiz ◽  
Zeynep Sumer ◽  
Hillary S. Jalon
Keyword(s):  
Cardiopulmonary Arrest ◽  
Rapid Response ◽  
Rapid Response System ◽  
Arrest Rates ◽  
Response System

Outcomes following changing from a two-tiered to a three-tiered hospital rapid response system

2019 ◽  
Vol 43 (2) ◽  
pp. 178
Author(s):  
The Concord Medical Emergency Team Study Investigators
Keyword(s):  
Cardiac Arrest ◽  
Hospital Mortality ◽  
Patient Outcomes ◽  
Medical Emergency Team ◽  
Rapid Response ◽  
Medical Emergency ◽  
Rapid Response System ◽  
Structured Interviews ◽  
Emergency Team ◽  
Response System

Objectives The aim of the present study was to determine whether changing a hospital rapid response system (RRS) from a two-tiered to a three-tiered model can reduce disruption to normal hospital routines while maintaining the same overall patient outcomes. Methods Staff at an Australian teaching hospital attending medical emergency team and cardiac arrest (MET/CA) calls were interviewed after the RRS was changed from a two-tiered to three-tiered model, and the results were compared with a study using the same methods conducted before the change. The main outcome measures were changes in: (1) the incident rate resulting from staff leaving normal duties to attend MET/CA calls; (2) the cardiac arrest rate, (3) unplanned intensive care unit (ICU) admission rates; and (4) hospital mortality. Results We completed 1337 structured interviews (overall response rate 65.2%). The rate of incidents occurring as a result of staff leaving normal duties to attend MET/CA calls fell from 213.7 to 161.3 incidents per 1000 MET/CA call participant attendances (P&lt;0.001), but the rate of cardiac arrest and unplanned ICU admissions did not change significantly. Hospital mortality was confounded by the opening of a new palliative care ward. Conclusion A three-tiered RRS may reduce disruption to normal hospital routines while maintaining the same overall patient outcomes. What is known about the topic? RRS calls result in significant disruption to normal hospital routines because staff can be called away from normal duties to attend. The best staffing model for an RRS is currently unknown. What does this paper add? The present study demonstrates, for the first time, that changing a hospital RRS from a two-tiered to a three-tiered model can reduce the rate of incidents reported by staff caused by leaving normal duties to attend RRS calls while maintaining the same overall patient outcomes. What are the implications for practitioners? Hospitals could potentially reduce disruption to normal hospital routines, without compromising patient care, by changing to a three-tiered RRS.

scholarly journals Effect of Rapid Response System on Unplanned Intensive Care Unit Admission after Elective Surgery

2018 ◽  
Vol 02 (02) ◽  
Author(s):  
Masayuki Akatsuka ◽  
Hiroomi Tatsumi ◽  
Shinichiro Yoshida ◽  
Satoshi Kazuma ◽  
Yoichi Katayama ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Admission ◽  
Elective Surgery ◽  
Rapid Response ◽  
Rapid Response System ◽  
Response System
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