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快速反应小组:它们能带来改变吗?

Rapid response teams: do they make a difference?

作者信息

Jolley Jenny, Bendyk Heather, Holaday Bonnie, Lombardozzi Kristine A K, Harmon Corinne

机构信息

Spartanburg Regional Medical Center in South Carolina, USA.

出版信息

Dimens Crit Care Nurs. 2007 Nov-Dec;26(6):253-60; quiz 261-2. doi: 10.1097/01.DCC.0000297401.67854.78.

DOI:10.1097/01.DCC.0000297401.67854.78
PMID:18090145
Abstract

Hundreds of lives are now being saved in hospitals across the country with the use of rapid response teams. These teams are composed of clinicians who bring critical care expertise to the patient bedside. The purpose of these teams is to assess and stabilize the patient, assist with communication among the interdisciplinary care providers, educate and support the staff caring for the patient, and assist with transfer of the patient if necessary. Research has shown that, with successful implementation of a rapid response team, the percent of codes and mortality rates decrease. The purpose of this study was to evaluate the effectiveness of implementing a rapid response team at 1 medical center. The results from the study demonstrated a decrease in the percent of codes outside the critical care units. However, it did not show a decrease in overall mortality rates for the patients. Data review will continue as we strive to improve our overall mortality rates while maintaining a decrease in the amount of codes.

摘要

通过使用快速反应小组,全国数百人的生命正在医院中得以挽救。这些小组由临床医生组成,他们将重症护理专业知识带到患者床边。这些小组的目的是评估患者并使其稳定,协助跨学科护理人员之间的沟通,教育并支持照顾患者的工作人员,必要时协助患者转院。研究表明,随着快速反应小组的成功实施,抢救次数和死亡率百分比有所下降。本研究的目的是评估在一家医疗中心实施快速反应小组的有效性。该研究结果表明,重症监护病房以外的抢救次数百分比有所下降。然而,患者的总体死亡率并未下降。随着我们努力提高总体死亡率,同时保持抢救次数的减少,数据审查将继续进行。

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