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KMID : 0604020140290020077
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Korean Journal of Critical Care Medicine
2014 Volume.29 No. 2 p.77 ~ p.82
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Successful Implementation of a Rapid Response System in the Department of Internal Medicine
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Lee Yeon-Joo
Park Jin-Joo
Yoon Yeon-Yee
Kim Jin-Won
Park Jong-Sun
Kim Tae-Yun
Lee Jae-Hyuk
Suh Jung-Won
Jo You-Hwan
Park Sang-Heon
Kim Kyu-Seok
Cho Young-Jae
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Abstract
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Background: A rapid response system (RRS) aims to prevent unexpected patient death due to clinical errors and is becoming an essentialpart of intensive care. We examined the activity and outcomes of RRS for patients admitted to our institution’s department of internalmedicine.
Methods: We retrospectively reviewed patients detected by the RRS and admitted to the medical intensive care unit (MICU) fromOctober 2012 through August 2013. We studied the overall activity of the RRS and compared patient outcomes between those admittedvia the RRS and those admitted conventionally.
Results: A total of 4,849 alert lists were generated from 2,505 medical service patients. The RRS was activated in 58 patients: A (Admitto ICU), B (Borderline intervention), C (Consultation), and D (Do not resuscitate) in 26 (44.8%), 21 (36.2%), 4 (6.9%), and 7 (12.1%)patients, respectively. Low oxygen saturation was the most common criterion for RRS activation. MICU admission via the RRS resultedin a shorter ICU stay than that via conventional admission (6.2 vs. 9.9 days, p = 0.018).
Conclusions: An RRS can be successfully implemented in medical services. ICU admission via the RRS resulted in a shorter ICU staythan that via conventional admission. Further study is required to determine long-term outcomes.
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KEYWORD
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intensive care unit, internal medicine, rapid response team
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