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Rapid Response Team activation for pediatric patients on the acute pain service

Maxwell Teets1, Dmitry Tumin2, Hina Walia2

  • 1Department of Anesthesiology, New York University Langone Medical Center, New York, USA.

Paediatric Anaesthesia
|October 15, 2017
PubMed

Insights

Identifying patient demographics linked to Rapid Response Team (RRT) activations on the acute pain service is crucial. Infants and adults over 18 showed higher odds of RRT activation compared to adolescents, highlighting at-risk groups.

Area of Science:

  • Quality Improvement
  • Pain Management
  • Patient Safety

Background:

  • Untreated pain or aggressive pain management can cause adverse events.
  • Activation of the Rapid Response Team (RRT) can result from pain management issues.
  • This study examines patient demographics and patterns related to RRT consultations for acute pain service patients.

Purpose of the Study:

  • To identify patient demographics associated with RRT consultations.
  • To understand patterns leading to RRT activations in acute pain service patients.
  • To improve patient safety by identifying at-risk populations.

Main Methods:

  • Retrospective review of acute pain service patients (February 2011 - June 2015).
  • Cross-referencing with RRT consultations.
  • Independent practitioner review of electronic medical records to identify pain management-related events.

Main Results:

  • Over 4 years, 135 unique patients on the acute pain service required RRT consults.
  • Adolescents (12-17 years) were the largest patient group (36%).
  • Infants (<1 year) and adults (>18 years) had significantly higher odds of RRT activation compared to adolescents.

Conclusions:

  • Identifying demographics and causes of RRT activations is key.
  • This knowledge can help identify patients at risk of clinical decompensation.
  • Proactive identification of at-risk patients can improve acute pain management outcomes.
Abstract

Keywords:
Rapid Response Teamassessment and consultation teamopioidspatient-controlled analgesiapediatric pain management

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