Impact of a Communication and Team-working Intervention on Performance and Effectiveness of a Medical Emergency Team
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,500
- 试验地点
- 2
- 主要终点
- Multiple Medical Emergency Team calls per patient admission
研究概览
简要总结
Patients in hospital can have unexpected clinical emergencies. When this occurs the Medical Emergency Team (MET) are called with the intention of resolving the problem. Previous investigations have found that patients who have more than one call during their admission have worse outcomes than patients who only have one call. But it has not been established why.
The aim of this research will be to examine these repeated calls and why patients subject to them go on to have worse outcomes. A predictive model will be developed to identify potential sources of risk. One potential source is poor communication between health care providers. An intervention to improve communication around MET calls may provide benefit to patients and improve outcomes.
详细描述
This investigation will comprise a mixed methods, before-and-after study. The particulars are:
Format:
-
Before intervention
-
Analysis of retrospective MET activity and patient outcome data
-
Surveying of staff for attitudes and perceptions of MET calls
-
Intervention
-
Twice-daily MET briefing meetings
-
Formalised handover process for MET calls resulting in patients remaining in their current clinical area
-
After intervention
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Medical Emergency Team (MET) calls
排除标准
- •Cancellation of the MET response prior to, or on arrival at, the location of activation
- •Calls to patients < 18 years of age
结局指标
主要结局
Multiple Medical Emergency Team calls per patient admission
时间窗: Measured at time of hospital discharge
次要结局
- Mortality(At completion of Medical Emergency Team call)
- ICU admission rate(At completion of Medical Emergency Team call)
- ICU interventions(At completion of Medical Emergency Team call)
研究者
Dr Richard Chalwin
Principal Investigator
Lyell McEwin Hospital