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Percent of Codes (Crash Calls) Outside the Intensive Care Unit
6/18/2005 9:34:05 PM
User Comments on Percent of Codes (Crash Calls) Outside the Intensive Care Unit
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Re: Percent of Codes (Crash Calls) Outside the Intensive Care Unit
7/27/2009 3:34:02 PM
I would like to challenge the notion of excluding ONLY ER and ICU patients from these measures. Our Rapid Response Team does not respond to any critical care area, which includes OR, PACU, and Cath Lab.
I would also challenge including visitors, families who are not inpatients, but rather just passers by in the hospital. Rapid Response Teams will not know of these folks unless there is a true cardiopulmonary arrest occurring.
I believe the core measure should be to reduce cardiopulmonary arrests on medical/surgical units in the hospital, to include stepdown, telemetry, medical and surgical wards. This is where one can intervene earlier to prevent a cardiopulmonary arrest.
The other measure are extraneous variables that unnecessarily dampen rapid response team outcomes.
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Total Posts: 72
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Re: Percent of Codes (Crash Calls) Outside the Intensive Care Unit
7/28/2009 11:49:51 AM
Thanks for your comments Anna. Each hospital seems to measure "codes" differently, seems to have different boundaries for the Rapid Response Team, and for 'who' they respond to - I am convinced that that is okay. The cultural adaptations needed for a rapid response system seems to be different from facility to facililty. As long as the goal is to rescue deteriorating patients, the system adaptations are very minor.
There are some teams that do respond within an ICU (cath lab, PACU) area, occasionally ICU (cath lab, PACU) staff need additional hands, a physician or the patient issue may be the provider, so a response team is helpful.
SOme hospitals have encouraged the use of response teams to assist non-inpatients - in an attempt to rescue the patient and get them to the ED quickly for eval.
Thanks for your observations. I trust the system developed in your facility meets the needs of your patients and the adaptations that you and others have made is facility specific.
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