Journal article
Quality metrics for the evaluation of Rapid Response Systems: Proceedings from the third international consensus conference on Rapid Response Systems
Resuscitation, Vol.141, pp.1-12
08/2019
DOI: 10.1016/j.resuscitation.2019.05.012
PMID: 31129229
Abstract
Clinically significant deterioration of patients admitted to general wards is a recognized complication of hospital care. Rapid Response Systems (RRS) aim to reduce the number of avoidable adverse events. The authors aimed to develop a core quality metric for the evaluation of RRS.
We conducted an international consensus process. Participants included patients, carers, clinicians, research scientists, and members of the International Society for Rapid Response Systems with representatives from Europe, Australia, Africa, Asia and the US.
Scoping reviews of the literature identified potential metrics. We used a modified Delphi methodology to arrive at a list of candidate indicators that were reviewed for feasibility and applicability across a broad range of healthcare systems including low and middle-income countries. The writing group refined recommendations and further characterized measurement tools.
Consensus emerged that core outcomes for reporting for quality improvement should include ten metrics related to structure, process and outcome for RRS with outcomes following the domains of the quadruple aim. The conference recommended that hospitals should collect data on cardiac arrests and their potential predictability, timeliness of escalation, critical care interventions and presence of written treatment goals for patients remaining on general wards. Unit level reporting should include the presence of patient activated rapid response and metrics of organizational culture. We suggest two exploratory cost metrics to underpin urgently needed research in this area.
A consensus process was used to develop ten metrics for better understanding the course and care of deteriorating ward patients. Others are proposed for further development.
Details
- Title: Subtitle
- Quality metrics for the evaluation of Rapid Response Systems: Proceedings from the third international consensus conference on Rapid Response Systems
- Creators
- Christian P. Subbe - Bangor UniversityJonathan Bannard-Smith - Manchester Royal InfirmaryJacinda Bunch - University of IowaRatapum Champunot - Buddhachinaraj HospitalMichael A. DeVita - Harlem Hospital CenterLesley Durham - North Tyneside General HospitalDana P. Edelson - University of ChicagoIsabel Gonzalez - North Tyneside General HospitalChristopher Hancock - NHS Wales, Innovation House, Bridgend Road, Llanharan CF72 9RP, UK.Rashan Haniffa - Network for Improving Critical Care Systems and Training, UK.Jillian Hartin - University College HospitalHelen Haskell - National Patient Safety FoundationHelen Hogan - University of LondonDarly A. Jones - Monash UniversityCor J. Kalkman - University Medical Center UtrechtGeoffrey K. Lighthall - Stanford UniversityJames Malycha - John Radcliffe HospitalMelody Z. Ni - Imperial College LondonAlison V. Phillips - Patient Representative, UKFrancesca Rubulotta - Charing Cross HospitalRalph K. So - Albert Schweitzer ZiekenhuisJohn Welch - University College HospitalInternational Society for Rapid Response Systems
- Resource Type
- Journal article
- Publication Details
- Resuscitation, Vol.141, pp.1-12
- DOI
- 10.1016/j.resuscitation.2019.05.012
- PMID
- 31129229
- NLM abbreviation
- Resuscitation
- ISSN
- 0300-9572
- eISSN
- 1873-1570
- Publisher
- Elsevier B.V
- Language
- English
- Date published
- 08/2019
- Academic Unit
- Nursing; Injury Prevention Research Center
- Record Identifier
- 9984370636202771
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