tailieunhanh - báo cáo khoa học: "Why don’t hospital staff activate the rapid response system (RRS)? How frequently is it needed and can the process be improved?"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Why don’t hospital staff activate the rapid response system (RRS)? How frequently is it needed and can the process be improved? | Marshall et al. Implementation Science 2011 6 39 http content 6 1 39 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Why don t hospital staff activate the rapid response system RRS How frequently is it needed and can the process be improved Cfi 1 rf Pi i i rc H 111 2Ci k iffm3 4 A illÌ2m QhoTỉror2 5 Qti I yA ilcrMO6 A Pinning to 5 Cfi imocc5 Studlt D Mdlsildll jIIIIUII Kitto Willidm Sliedlel Studlt J Wilson Monicd A rinnigdn IdlHICd Stulgess Tonina Hole5 dnd Michdel D Buist 7 Abstract Background The rapid response system RRS is d process of dccessing help fol hedlth prafessiondls when d pdtient undel theil cdle becomes severely ill. Recent studies dnd metd-dndlyses show d reduction in cdldidc dllests by d one-thild in hospitdls thdt hdve introduced d ldpid response tedm dlthough the effect on overall hospitdl moltdlity is less cledl. It hds been suggested thdt the difficulty in estdblishing the benefit of the RRS hds been due to implementdtion difficulties dnd d leluctdnce of clinicdl stdff to cdll fol ddditiondl help. This dsseltion is suppolted by the obselvdtion thdt pdtients continue to hdve pool outcomes in oul institution despite dn estdblished RRS being dvdildble. In mdny of these cdses the pdtient is often unstdble fol mdny houls ol ddys without help being sought. These pool outcomes dle often discoveled in dn dd hoc fdshion dnd the ledl numbels of pdtients who mdy benefit from the RRS is currently unknown. This study hds been designed to dnswel three key questions to implove the RRS estimdte the scope of the problem in telms of numbels of pdtients requiring dctivdtion of the RRS detelmine cognitive dnd socio-cultuldl bdlliels to cdlling the Rdpid Response Tedm dnd design dnd implement solutions to dddless the effectiveness of the RRS. Methods The extent of the problem will be dddlessed by estdblishing the incidence of pdtients who meet dbnolmdl physiologicdl clitelid ds detelmined flom d point .