TY - JOUR
T1 - Mortality and Length of Stay Trends Following Implementation of a Rapid Response System and Real-Time Automated Clinical Deterioration Alerts
AU - Kollef, Marin H.
AU - Heard, Kevin
AU - Chen, Yixin
AU - Lu, Chenyang
AU - Martin, Nelda
AU - Bailey, Thomas
N1 - Publisher Copyright:
© 2015, © The Author(s) 2015.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - A study was performed to determine the potential influence of a rapid response system (RRS) employing real-time clinical deterioration alerts (RTCDAs) on patient outcomes involving 8 general medicine units. Introduction of the RRS occurred in 2006 with staged addition of the RTCDAs in 2009. Statistically significant year-to-year decreases in mortality were observed through 2014 (r = −.794; P =.002). Similarly, year-to-year decreases in the number of cardiopulmonary arrests (CPAs; r = −.792; P =.006) and median lengths of stay (r = −.841; P =.001) were observed. There was a statistically significant year-to-year increase in the number of RRS activations for these units (r =.939; P <.001) that was inversely correlated with the occurrence of CPAs (r = −.784; P =.007). In this single-institution retrospective study, introduction of a RRS employing RTCDAs was associated with lower hospital mortality, CPAs, and hospital length of stay.
AB - A study was performed to determine the potential influence of a rapid response system (RRS) employing real-time clinical deterioration alerts (RTCDAs) on patient outcomes involving 8 general medicine units. Introduction of the RRS occurred in 2006 with staged addition of the RTCDAs in 2009. Statistically significant year-to-year decreases in mortality were observed through 2014 (r = −.794; P =.002). Similarly, year-to-year decreases in the number of cardiopulmonary arrests (CPAs; r = −.792; P =.006) and median lengths of stay (r = −.841; P =.001) were observed. There was a statistically significant year-to-year increase in the number of RRS activations for these units (r =.939; P <.001) that was inversely correlated with the occurrence of CPAs (r = −.784; P =.007). In this single-institution retrospective study, introduction of a RRS employing RTCDAs was associated with lower hospital mortality, CPAs, and hospital length of stay.
KW - clinical deterioration alert
KW - hospital length of stay
KW - morbidity and mortality
KW - rapid response system
UR - http://www.scopus.com/inward/record.url?scp=85009495409&partnerID=8YFLogxK
U2 - 10.1177/1062860615613841
DO - 10.1177/1062860615613841
M3 - Article
C2 - 26566998
AN - SCOPUS:85009495409
VL - 32
SP - 12
EP - 18
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
SN - 1062-8606
IS - 1
ER -