NDLI: Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients.

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Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Fagan, Kate Sabel, Allison Mehler, Philip S. MacKenzie, Thomas D.
Description	Country affiliation: United States Author Affiliation: Fagan K ( Denver Health, Denver, CO 80204-4507, USA.)
Abstract	Rapid response activation (RRA), triggered chiefly by surpassing threshold vital sign abnormalities (TVSAs), is designed to intervene at the earliest point in a patient's deteriorating course. The authors aimed to quantify the incidence of TVSA among patients hospitalized on acute care units in a hospital that uses rapid response. During the course of 6 months, the authors compared adverse events (mortality, unexpected intensive care unit [ICU] transfers, and cardiopulmonary arrest) and TVSA among patients who triggered an RRA, patients with TVSAs and no RRA, and all other patients. At least 1 TVSA was recorded in 31.9% of stays and 12.2% of patient-days. RRA patients were more likely (22.5%) than other TVSA patients (7.9%) and other patients (1.8%) to have an adverse event (P < .01). Incidence varied by vital sign. During the investigation, only 2.5% of TVSA opportunities triggered an RRA. As systems engage electronic workflows, automatically triggering RRAs based solely on TVSAs could place a tremendous burden on systems.
File Format	HTM / HTML
ISSN	10628606
Issue Number	6
Volume Number	27
e-ISSN	1555824X
Journal	American Journal of Medical Quality
Language	English
Publisher	Sage Publication
Publisher Date	2012-11-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Health Services Research Hospital Rapid Response Team Hospitalization Statistics & Numerical Data Vital Signs Adult Clinical Alarms Emergencies Female Heart Arrest Therapy Hospital Mortality Humans Intensive Care Units Male Middle Aged Treatment Outcome Journal Article
Content Type	Text
Resource Type	Article
Subject	Health Policy

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