tailieunhanh - Báo cáo y học: "Using Medical Emergency Teams to detect preventable adverse events"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Using Medical Emergency Teams to detect preventable adverse events. | Available online http content 13 4 R126 Research Using Medical Emergency Teams to detect preventable adverse events Akshai Iyengar1 Alan Baxter2 and Alan J Forster1 3 Department of Medicine Faculty of Medicine University of Ottawa 451 Smyth Road Ottawa ON K1H 8M5 Canada department of Anaesthesia Faculty of Medicine University of Ottawa 451 Smyth Road Ottawa ON K1 H 8M5 Canada 3Clinical Epidemiology Program Ottawa Hospital Research Institute 725 Parkdale Avenue Ottawa ON K1Y 4E9 Canada Corresponding author Alan J Forster aforster@ Received 12 Feb 2009 Revisions requested 17 Apr 2009 Revisions received 10 Jun 2009 Accepted 30 Jul 2009 Published 30 Jul 2009 Critical Care 2009 13 R126 doi cc7983 This article is online at http content 13 4 R1 26 2009 Iyengar et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Medical Emergency Teams METs also known as Rapid Response Teams are recommended as a patient safety measure. A potential benefit of implementing an MET is the capacity to systematically assess preventable adverse events which are defined as poor outcomes caused by errors or system design flaws. We describe how we used MET calls to systematically identify preventable adverse events in an academic tertiary care hospital and describe our surveillance results. Methods For four weeks we collected standard information on consecutive MET calls. Within a week of the MET call a multidisciplinary team reviewed the information and rated the cause of the outcome using a previously developed rating scale. We classified the type and severity of the preventable adverse event. Results We captured information on all 65 MET calls occurring during the study period. Of