快速反应小组激活和死亡率的日间时间之间的关联
Márcio Manozzo Boniatti1, Melina Silva de Loreto1, Geris Mazzutti1
1Hospital de Clínicas de Porto Alegre, 90035-903, Brazil.
Journal of critical care
|June 13, 2023
概括
晚上快速响应小组 (RRT) 的电话并没有恶化患者的结果. 然而,死亡率在护理交换时间增加,突出了患者监测的关键时期.
科学领域:
- 关键护理医学 关键护理医学
- 医院质量改善 医院质量改善
- 患者安全 患者安全
背景情况:
- 快速反应小组 (RRTs) 对于对病情恶化的患者及时干预至关重要.
- 了解RRT激活的时间模式对于优化医院响应系统至关重要.
研究的目的:
- 根据一天中的时间调查RRT呼叫的频率.
- 为了确定RRT呼叫时间和住院死亡率之间的关联.
主要方法:
- 一个高等教学医院的4522个RRT激活的回顾性队列研究.
- RRT电话分类为白天 (7:00-18:59) 或夜间 (19:00-6:59).
- 住院死亡率和在48小时内进入ICU作为主要和次要结局.
主要成果:
- 与白天电话相比,夜间RRT电话在死亡率上没有显著差异.
- 在护理交付期间 (7:00, 13:00, 19:00) 注意到RRT呼叫的减少.
- 在12:00-13:00和19:00-20:00之间观察到死亡率调整后的增加.
结论:
- 夜间RRT激活与更差的患者结果本质上没有联系.
- 护理交换期代表了可能增加死亡风险的关键时期.
- 医院系统应考虑在轮班变更期间加强警,以减轻风险.
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