Tele-Rapid Response Team (Tele-RRT): The effect of implementing patient safety network system on outcomes of medical patients-A before and after cohort study.
<h4>Background</h4>Rapid Response Teams were developed to provide interventions for deteriorating patients. Their activation depends on timely detection of deterioration. Automated calculation of warning scores may lead to early recognition, and improvement of RRT effectiveness.<h4>...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0277992 |
| _version_ | 1797959179534598144 |
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| author | Ahmed N Balshi Mohammed A Al-Odat Abdulrahman M Alharthy Rayan A Alshaya Hanan M Alenzi Alhadzia S Dambung Huda Mhawish Saad M Altamimi Waleed Th Aletreby |
| author_facet | Ahmed N Balshi Mohammed A Al-Odat Abdulrahman M Alharthy Rayan A Alshaya Hanan M Alenzi Alhadzia S Dambung Huda Mhawish Saad M Altamimi Waleed Th Aletreby |
| author_sort | Ahmed N Balshi |
| collection | DOAJ |
| description | <h4>Background</h4>Rapid Response Teams were developed to provide interventions for deteriorating patients. Their activation depends on timely detection of deterioration. Automated calculation of warning scores may lead to early recognition, and improvement of RRT effectiveness.<h4>Method</h4>This was a "Before" and "After" study, in the "Before" period ward nurses activated RRT after manually recording vital signs and calculating warning scores. In the "After" period, vital signs and warning calculations were automatically relayed to RRT through a wireless monitoring network.<h4>Results</h4>When compared to the before group, the after group had significantly lower incidence and rate of cardiopulmonary resuscitation (CPR) (2.3 / 1000 inpatient days versus 3.8 / 1000 inpatient days respectively, p = 0.01), significantly shorter length of hospital stay and lower hospital mortality, but significantly higher number of RRT activations. In multivariable logistic regression model, being in the "After" group decreases odds of CPR by 33% (OR = 0.67 [95% CI: 0.46-0.99]; p = 0.04). There was no difference between groups in ICU admission.<h4>Conclusion</h4>Automated activation of the RRT significantly reduced CPR events and rates, improved CPR success rate, reduced hospital length of stay and mortality, but increased the number of RRT activations. There were no differences in unplanned ICU admission or readmission. |
| first_indexed | 2024-04-11T00:28:45Z |
| format | Article |
| id | doaj.art-bba4dee4718e42efa21dfe6952f553bd |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-11T00:28:45Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-bba4dee4718e42efa21dfe6952f553bd2023-01-08T05:31:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011711e027799210.1371/journal.pone.0277992Tele-Rapid Response Team (Tele-RRT): The effect of implementing patient safety network system on outcomes of medical patients-A before and after cohort study.Ahmed N BalshiMohammed A Al-OdatAbdulrahman M AlharthyRayan A AlshayaHanan M AlenziAlhadzia S DambungHuda MhawishSaad M AltamimiWaleed Th Aletreby<h4>Background</h4>Rapid Response Teams were developed to provide interventions for deteriorating patients. Their activation depends on timely detection of deterioration. Automated calculation of warning scores may lead to early recognition, and improvement of RRT effectiveness.<h4>Method</h4>This was a "Before" and "After" study, in the "Before" period ward nurses activated RRT after manually recording vital signs and calculating warning scores. In the "After" period, vital signs and warning calculations were automatically relayed to RRT through a wireless monitoring network.<h4>Results</h4>When compared to the before group, the after group had significantly lower incidence and rate of cardiopulmonary resuscitation (CPR) (2.3 / 1000 inpatient days versus 3.8 / 1000 inpatient days respectively, p = 0.01), significantly shorter length of hospital stay and lower hospital mortality, but significantly higher number of RRT activations. In multivariable logistic regression model, being in the "After" group decreases odds of CPR by 33% (OR = 0.67 [95% CI: 0.46-0.99]; p = 0.04). There was no difference between groups in ICU admission.<h4>Conclusion</h4>Automated activation of the RRT significantly reduced CPR events and rates, improved CPR success rate, reduced hospital length of stay and mortality, but increased the number of RRT activations. There were no differences in unplanned ICU admission or readmission.https://doi.org/10.1371/journal.pone.0277992 |
| spellingShingle | Ahmed N Balshi Mohammed A Al-Odat Abdulrahman M Alharthy Rayan A Alshaya Hanan M Alenzi Alhadzia S Dambung Huda Mhawish Saad M Altamimi Waleed Th Aletreby Tele-Rapid Response Team (Tele-RRT): The effect of implementing patient safety network system on outcomes of medical patients-A before and after cohort study. PLoS ONE |
| title | Tele-Rapid Response Team (Tele-RRT): The effect of implementing patient safety network system on outcomes of medical patients-A before and after cohort study. |
| title_full | Tele-Rapid Response Team (Tele-RRT): The effect of implementing patient safety network system on outcomes of medical patients-A before and after cohort study. |
| title_fullStr | Tele-Rapid Response Team (Tele-RRT): The effect of implementing patient safety network system on outcomes of medical patients-A before and after cohort study. |
| title_full_unstemmed | Tele-Rapid Response Team (Tele-RRT): The effect of implementing patient safety network system on outcomes of medical patients-A before and after cohort study. |
| title_short | Tele-Rapid Response Team (Tele-RRT): The effect of implementing patient safety network system on outcomes of medical patients-A before and after cohort study. |
| title_sort | tele rapid response team tele rrt the effect of implementing patient safety network system on outcomes of medical patients a before and after cohort study |
| url | https://doi.org/10.1371/journal.pone.0277992 |
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