Clinical Excellence Commission, Sydney, Australia.
Health Systems Improvement, Clinical Excellence Commission, Sydney, Australia.
BMJ Qual Saf. 2014 Sep;23(9):714-7. doi: 10.1136/bmjqs-2014-002845. Epub 2014 Apr 16.
While many hospitals are implementing rapid response systems (RRSs) to attend to deteriorating patients in a systematic way, there is little documented evidence on system-wide approaches to adopting RRSs. Here, we report on an initiative which enrolled 220 hospitals in New South Wales, Australia. The 'between the flags' approach was modelled on Australia's surf lifesaving experience, where qualified lifesavers perform thousands of rescues each year. Patients in hospitals who are identified as being 'between the flags' are given special attention, just like beach goers.
虽然许多医院正在实施快速反应系统（RRS），以系统的方式照顾病情恶化的患者，但关于在全系统范围内采用 RRS 的方法，文献记载甚少。在这里，我们报告了一项在澳大利亚新南威尔士州招募了 220 家医院参与的计划。“在旗帜之间”的方法是模仿澳大利亚的冲浪救生经验，合格的救生员每年进行数千次救援。在医院中被确定为“在旗帜之间”的患者会得到特别关注，就像海滩游客一样。
