在住院儿童中,不良事件与快速反应小组激活的关联
Lisa M Rickey1,2, Maureen Pimentel3, Kelly Zakar4
1Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Hospital pediatrics
|December 8, 2025
概括
住院儿童经常经历不良事件 (AE),特别是那些需要快速响应小组 (RRT) 激活重症监护室 (ICU) 转移的不良事件. 紧急分类与更高的AE率有关,突出显示RRT激活是AE检测的关键点.
科学领域:
- 儿科医院医学 儿科医院医学
- 患者的安全性 患者安全性
- 质量改善 质量改善
背景情况:
- 在住院儿童中,不良事件 (AE) 是常见的.
- 创伤性经历可能导致计划外的重症监护病房 (ICU) 转移.
- 快速反应小组 (RRTs) 被激活用于紧急或非紧急的患者评估.
研究的目的:
- 测量和描述RRT激活和ICU转移周围的AE.
- 调查RRT分选机制是否影响AE率或特征.
主要方法:
- 对接受RRT评估和ICU转移的住院儿童 (<18岁) 的回顾性队列研究.
- 在ICU转移前和转移后48小时内测量AEs.
- 独立的医生审查AE的分类,严重程度和可预防性.
主要成果:
- 在699次RRT激活中发现了407个AE.
- 新兴与非新兴分离的更高的转移前AE率 (0.68对0.52AE/RRT,P=.03).
- 大多数副作用会造成暂时的伤害,并且是可以预防的;常见类型包括药物/液体,程序和诊断错误.
结论:
- 在需要ICU分拣和转移的儿童中发现了高AEs率.
- 紧急分组患者的AE率显着更高.
- RRT激活是检测AE的关键指标.
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