Incorporating a real-time automatic alerting system based on electronic medical records could improve rapid response systems: a retrospective cohort study
DC Field | Value | Language |
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dc.contributor.author | You, Seung-Hun | - |
dc.contributor.author | Jung, Sun-Young | - |
dc.contributor.author | Lee, Hyun Joo | - |
dc.contributor.author | Kim, Sulhee | - |
dc.contributor.author | Yang, Eunjin | - |
dc.date.accessioned | 2023-03-20T02:43:22Z | - |
dc.date.available | 2023-03-20T02:43:22Z | - |
dc.date.created | 2023-03-20 | - |
dc.date.issued | 2021-12 | - |
dc.identifier.issn | 1757-7241 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/87181 | - |
dc.description.abstract | Background Rapid response systems (RRSs) are essential components of patient safety systems; however, limited evidence exists regarding their effectiveness and optimal structures. We aimed to assess the activation patterns and outcomes of RRS implementation with/without a real-time automatic alerting system (AAS) based on electronic medical records (EMRs). Methods We retrospectively analyzed clinical data of patients for whom the RRS was activated in the surgical wards of a tertiary university hospital. We compared the code rate, in-hospital mortality, unplanned intensive care unit (ICU) admission, and other clinical outcomes before and after applying RRS and AAS as follows: pre-RRS (January 2013-July 2015), RRS without AAS (August 2015-November 2016), and RRS with AAS (December 2016-December 2017). Results In-hospital mortality per 1000 admissions decreased from 15.1 to 12.9 after RRS implementation (p < 0.001). RRS activation per 1000 admissions increased from 14.4 to 26.3 after AAS implementation. The severity of patients' condition calculated using the modified early warning score increased from 2.5 (+/- 2.1) in the RRS without AAS to 3.6 (+/- 2.1) (p < 0.001) in the RRS with AAS. The total and preventable code rates and in-hospital mortality rates were comparable between the RRS implementation periods without/with AAS. ICU duration and mortality results improved in patients with RRS activation and unplanned ICU admission. The data of RRS non-activated group remained unaltered during the study. Conclusions Real-time AAS based on EMRs might help identify unstable patients. Early detection and intervention with RRS may improve patient outcomes. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | BMC | - |
dc.relation.isPartOf | SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE | - |
dc.title | Incorporating a real-time automatic alerting system based on electronic medical records could improve rapid response systems: a retrospective cohort study | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000726275100004 | - |
dc.identifier.doi | 10.1186/s13049-021-00979-y | - |
dc.identifier.bibliographicCitation | SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE, v.29, no.1 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.scopusid | 2-s2.0-85121000346 | - |
dc.citation.title | SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE | - |
dc.citation.volume | 29 | - |
dc.citation.number | 1 | - |
dc.contributor.affiliatedAuthor | Yang, Eunjin | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Rapid response team | - |
dc.subject.keywordAuthor | Clinical alarms | - |
dc.subject.keywordAuthor | Quality improvements | - |
dc.subject.keywordAuthor | Resuscitation | - |
dc.subject.keywordAuthor | Intensive care units | - |
dc.subject.keywordPlus | DETERIORATION | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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