Open AccessImpact of rapid response system implementation at the Cuban Hospital. September 2014-September 2015
Author(s) -
Dalsy Torres Ávila,
Hector Roche Molina,
Ramon ato Alfonso,
Jorge Rosales García,
Katiana Figueredo Arias
Publication year - 2016
Publication title -
journal of emergency medicine, trauma and acute care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.27
H-Index - 5
eISSN - 1999-7094
pISSN - 1999-7086
DOI - 10.5339/jemtac.2016.icepq.74
Subject(s) - early warning score , medicine , rapid response team , medical emergency , warning system , multidisciplinary approach , early warning system , population , emergency medicine , prospective cohort study , hospital system , environmental health , surgery , social science , sociology , engineering , aerospace engineering
Hospitals' track-and-trigger systems to identify and respond efficiently to patient's deterioration became an evidence base tool for patient safety and medical management worldwide. A prospective study about the Impact of Rapid Response Team Implementation in the Cuban Hospital was developed since September 2014 up to September 2015. The patients admitted in medical and surgical wards were screened upon admission and rescreened during every shift by nurses using the National Early Warning Score (NEWS), a multidisciplinary medical response team was designed and proper actions were done according to the acuity of illnesses and patient needs. The 100% of patients admitted were screened and properly followed during every shift, the system gave us the possibility for early detection of all the patients deteriorated, 9.9% in total, the 3.6% of patients admitted were transferred to ICU in deteriorated condition, decreasing to 0 the code blue activation and the unexpected mortality in wards. Early recognition and timely and competent clinical response gave us the opportunity to be proactive to protect our patients against life threatening situations. We recommend extend this result to all the hospital service using a wider system to include maternity and pediatric population, the implementation of the Qatar Early Warning System (QEWS) will be our next step to protect all the patients admitted in our Hospital.