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Chapter 11 - Reducing Preventable Clinical Deterioration through the Use of a Safety Surveillance Team

from Section 4 - Putting Tools into Practice

Published online by Cambridge University Press:  27 July 2023

By
Joan S. Roberts  and
Wendy E. Murchie
Edited by
Sally E. Rampersad  and
Cindy B. Katz
Sally E. Rampersad
Affiliation:
University of Washington School of Medicine, Seattle
Cindy B. Katz
Affiliation:
Seattle Children’s Hospital, Washington
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Summary

RESCUE events, when patients require transfer to the intensive care unit (ICU) from acute care and need resuscitation with noninvasive or invasive positive pressure ventilation and/or blood pressure support, are associated with a 14.3% mortality risk at Seattle Children’s Hospital (SCH). Of 456 rapid response calls in 2012, 191 (41.9%) calls resulted in a transfer to the ICU. Of these transfers, 98 (51%) met the criteria for a RESCUE event. There was a failure in both recognition and response to clinical deterioration despite having a rapid response team (RRT). There was no effective and systematic method to identify and respond to early clinical deterioration to prevent a RESCUE event in the hospital.

Type
Chapter
Information
Patient Safety and Quality Improvement in Anesthesiology and Perioperative Medicine , pp. 93 - 103
Publisher: Cambridge University Press
Print publication year: 2023

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