ArticleBMJ (Clinical research ed.)2007
Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital.
Article in BMJ (Clinical research ed.), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.
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Who cites it
41 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Advanced Cardiac Life Support: 2016 Singapore Guidelines.Singapore medical journal · 2017Guideline
- Rapid-response systems as a patient safety strategy: a systematic review.Annals of internal medicine · 2013Pooled it
- Guideline
- Article
- Preventable in-hospital cardiac arrests in Australia and New Zealand: Targeting zero.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025Article
- Effect of introduction of a rapid response system and increasing Medical Emergency Team (MET) activity on mortality over a 20-year period in a paediatric specialist hospital.Resuscitation plus · 2024Article
- Improvement of the rapid response system at an acute rehabilitation hospital in New Mexico.Future science OA · 2024Article
- Intensive care admissions following rapid response team reviews in patients with COVID-19 in Australia.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2022Article
- Article
- Strategies for successful implementation and permanent maintenance of a rapid response system.The Korean journal of internal medicine · 2021Review
- Singapore Advanced Cardiac Life Support Guidelines 2021.Singapore medical journal · 2021Article
- A retrospective observational study of daytime and nighttime transfers from the intensive care unit: through the lens of critical care response teams.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Observational
- [Internal hospital emergency management : Concepts for optimization of patient safety in hospitals].Der Anaesthesist · 2020Review
- Changing patterns in paediatric medical emergency team (MET) activations over 20 years in a single specialist paediatric hospital.Resuscitation plus · 2020Article
- Rapid Response and Cardiac Arrest Teams: A Descriptive Analysis of 103 American Hospitals.Critical care explorations · 2019Article
- Rapid response systems in Korea.Acute and critical care · 2019Review
- Article
- An Opportunity for Cognitive Task Analysis in Neonatal Resuscitation.Frontiers in pediatrics · 2019Review
- Rapid response systems.Resuscitation · 2018Review
- A Pilot Study of the Effectiveness of Medical Emergency System Implementation at a Single Center in Korea.Korean journal of critical care medicine · 2017Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
problemIn-hospital cardiac arrest often represents failure of optimal clinical care. The use of medical emergency teams to prevent such events is controversial. In-hospital cardiac arrests have been reduced in several single centre historical control studies, but the only randomised prospective study showed no such benefit. In our hospital an important problem was failure to call the medical emergency team or cardiac arrest team when, before in-hospital cardiac arrest, patients had fulfilled the criteria for calling the team.
designSingle centre, prospective audit of cardiac arrests and data on use of the medical emergency team during 2000 to 2005.
setting400 bed general outer suburban metropolitan teaching hospital. STRATEGIES FOR CHANGE: Three initiatives in the hospital to improve use of the medical emergency team: orientation programme for first year doctors, professional development course for medical registrars, and the evolving role of liaison intensive care unit nurses. KEY MEASURES FOR IMPROVEMENT: Incidence of cardiac arrests. EFFECTS OF THE CHANGE: Incidence of cardiac arrests decreased 24% per year, from 2.4/1000 admissions in 2000 to 0.66/1000 admissions in 2005. LESSONS LEARNT: Medical emergency teams can be efficacious when supported with a multidisciplinary, multifaceted education system for clinical staff.
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