tailieunhanh - Báo cáo y học: "The evolving story of medical emergency teams in quality improvement"

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: The evolving story of medical emergency teams in quality improvement. | Available online http content 13 5 194 Commentary The evolving story of medical emergency teams in quality improvement André Carlos Kajdacsy-Balla Amaral1 and Kaveh G Shojania2 1 Department of Critical Care Medicine Sunnybrook Health Sciences Centre University of Toronto 2075 Bayview Avenue Room D108 Toronto ON M4N 3M5 Canada 2Department of Medicine Sunnybrook Health Sciences Centre University of Toronto Centre for Patient Safety 2075 Bayview Avenue Room H468 Toronto ON M4N 3M5 Canada Corresponding author André Carlos Kajdacsy-Balla Amaral Published 12 October 2009 Critical Care 2009 13 194 doi cc8033 This article is online at http content 13 5 194 2009 BioMed Central Ltd See related research by Iyengar et al. http content 13 4 R126 Abstract Adverse events affect approximately 3 to 1 2 of hospitalized patients. At least a third but as many as half of such events are considered preventable. Detection of these events requires investments of time and money. A report in a recent issue of Critical Care used the medical emergency team activation as a trigger to perform a prospective standardized evaluation of charts. The authors observed that roughly one fourth of calls were related to a preventable adverse event which is comparable to the previous literature. However while previous studies relied on retrospective chart reviews this study introduced the novel element of real-time characterization of events by the team at the moment of consultation. This methodology captures important opportunities for improvements in local care at a rate far higher than routine incident-reporting systems but without requiring substantial investments of additional resources. Academic centers are increasingly recognizing engagement in quality improvement as a distinct career pathway. Involving such physicians in medical emergency teams will likely facilitate the dual roles of these as a clinical outreach arm of .