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Emergency care within hospitals: can it be done more efficiently?
Marjon Borgert1, Astrid Goossens2, Rob Adams3
1PhD Candidate, Department of Intensive Care Medicine, University of Amsterdam, Amsterdam, The Netherlands.
British Journal of Nursing (Mark Allen Publishing)
|September 11, 2015
Summary
Many Cardiac Arrest Team (CAT) activations for false arrests (FAs) are less urgent. Utilizing the Rapid Response Team (RRT) and correct Modified Early Warning Score (MEWS) use can improve emergency care efficiency.
Area of Science:
- Emergency Medicine
- Critical Care Nursing
Background:
- Cardiac Arrest Teams (CATs) are often activated for false arrests (FAs), potentially impacting efficiency.
- Rapid Response Teams (RRTs) may offer a more efficient alternative for certain patient deteriorations.
Purpose of the Study:
- To assess the urgency level of false arrests (FAs) requiring CAT activation.
- To identify opportunities for improving emergency care efficiency by optimizing team activation protocols.
Main Methods:
- Retrospective analysis of CAT activations for FAs at a university hospital (September 2009-2012).
- Classification of FA activations as either urgent or less-urgent based on clinical criteria.
Main Results:
- 26% of reviewed CAT activations were for false arrests (107 out of 405).
- A majority of these FA activations (57%) were classified as less-urgent.
- A statistically significant difference (14%) was observed in less-urgent FA calls.
Conclusions:
- A substantial proportion of CAT activations for FAs are less urgent, suggesting RRT activation could be more efficient.
- Improved nurse recognition of early patient deterioration is crucial.
- Correct utilization of the Modified Early Warning Score (MEWS) is recommended to minimize unnecessary CAT activations.
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