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KMID : 0367020200320050539
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Journal of Korean Academic of Adult Nursing
2020 Volume.32 No. 5 p.539 ~ p.549
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Influence of the Rapid Response Team Activation via Screening by Nurses on Unplanned Intensive Care Unit Admissions
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Huh Ye-Ji
Moon Seong-Mi
Song Eun-Kyeung
Kim Min-Young
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Abstract
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Purpose: This study aimed to identify the influence of the activation of the Rapid Response Team (RRT) throughscreening unplanned Intensive Care Unit (ICU) admissions.
Methods: A total of 539 cases in which the RRT wasactivated, from January 1, 2016 to December 31, 2017, were analyzed. Data were collected by reviewing rapidresponse team activity reports and electronic medical records and analyzed using the Chi-squared test and multiplelogistic regression analysis. The analyzed types of RRT activation were electronic medical record-based screeningand activation through direct call.
Results: Patients admitted to the ICU following RRT activation through direct callwere twice as likely to experience an unplanned ICU admission than patients for which the RRT was activatedthrough electronic medical record screening (Odds Ratio [OR]=2.05, 95% Confidence Interval [CI]=1.27~3.30). Other variables, including the medical department, activation duration in minutes, total national early warning score,and respiratory distress as the reason for activation (compared to sepsis or septic shock) predicted unplanned ICUadmissions.
Conclusion: Electronic medical record screening by RRT may facilitate the early detection andmonitoring of physiological deterioration in patients in the general medical ward. This strategy may help preventunplanned ICU admissions and potentially reduce mortality.
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KEYWORD
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Hospital rapid response team, Intensive care units, Electronic medical records, Early warning score
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