Med J Aust. 2014 Nov 3;201(9):528-31. doi: 10.5694/mja14.00647.
To determine the rate of adverse events and incidents occurring as a result of hospital staff leaving normal duties to attend medical emergency team (MET) calls.
DESIGN, PARTICIPANTS AND SETTING: Single-centre, interview and questionnaire-based study of staff attending MET calls at a 650-bed university teaching hospital in Sydney, New South Wales, July to December 2013.
The rate of adverse events and incidents directly related to MET staff leaving normal duties to attend MET calls.
During the study period, 1490 structured interviews were conducted, and 279 written questionnaires were returned (overall response rate, 66.4%). There were no adverse events. There were 378 recorded incidents. The incident rate was 213.7 incidents per 1000 MET participant attendances (95% CI, 194.8-233.5), and 1.1 incidents per MET call. Using the severity assessment code, 99.5% of incidents were classified as minimum. The most commonly reported incidents were disruptions to normal duties, ward rounds, and patient reviews. Only 0.8% of incidents were reported on institutional incident reporting systems.
Significant disruption to normal hospital routines and inconvenience to staff occurred, without causing major harm to patients, when MET staff temporarily left normal duties to attend MET calls. Normal hospital incident reporting systems cannot be used to monitor for these problems, as they are underreported.
确定由于医院工作人员离开正常职责去参加医疗急救小组（MET）电话而导致的不良事件和事故的发生率。
设计、参与者和设置：2013 年 7 月至 12 月，在新南威尔士州悉尼的一家拥有 650 张床位的大学教学医院，对参加 MET 电话的工作人员进行了一项单中心、访谈和问卷调查研究。
与 MET 工作人员离开正常职责去参加 MET 电话直接相关的不良事件和事故的发生率。
在研究期间，进行了 1490 次结构化访谈，并收回了 279 份书面问卷（总体响应率为 66.4%）。没有不良事件发生。有 378 次记录在案的事件。事件发生率为每 1000 次 MET 参与者出勤 213.7 次（95%CI，194.8-233.5），每次 MET 电话 1.1 次。使用严重程度评估代码，99.5%的事件被归类为最低程度。最常报告的事件是对正常职责、病房查房和患者评估的干扰。仅 0.8%的事件在机构事件报告系统中报告。
当 MET 工作人员暂时离开正常职责去参加 MET 电话时，医院的正常常规会出现明显的混乱，工作人员会感到不便，但并未对患者造成重大伤害。正常的医院事件报告系统无法用于监测这些问题，因为这些问题报告不足。
