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Medical emergency team calls in the radiology department: Patient characteristics and outcomes

Ott, LK and Pinsky, MR and Hoffman, LA and Clarke, SP and Clark, S and Ren, D and Hravnak, M (2012) Medical emergency team calls in the radiology department: Patient characteristics and outcomes. BMJ Quality and Safety, 21 (6). 509 - 518. ISSN 2044-5415

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Abstract

Objective: We sought to identify the characteristics of patients who experience medical emergency team calls in the radiology department (MET-RD) and the relationship between these characteristics and patient outcomes. Design/participants: Retrospective review of 111 inpatient MET-RD calls (May 2008eApril 2010). Setting: Academic medical centre with a well established MET system. Measurements: The characteristics of patients before, during and after transport to radiology were extracted from medical records and administrative databases. These characteristics were compared between patients with good and poor outcomes. Main results: The majority of patients who experience MET-RD calls had a Charlson Comorbidity Index ≥4 and were from non-intensive care units (60%). Almost half (43%) of MET-RD calls occurred during patients'first day in hospital. Patients commonly arrived with nasal cannula oxygen (38%), recent tachypnoea (28%) and tachycardia (34%). A minority (16%) fulfilled MET call criteria in the 12 h before the MET-RD. MET-RD etiologies were cardiac (41%), respiratory (29%) or neurological (25%), and occurred most frequently during CT (44%) and MRI (22%) testing. Post METRD, the majority of patients (70%) required a higher level of care. Death before discharge (25%) was associated with need for cardiovascular support prior to RD transport (p=0.02), need for RD monitoring (p=0.02) and need for heightened RD surveillance (p=0.04). Conclusions: The majority of patients who experienced MET-RD calls came from non-intensive care units, with comorbidities and vital sign alterations prior to arrival at the RD. Risk appeared to be increased for those requiring CT and MRI. These findings suggest that prior identification of a subset of patients at risk of instability in the RD may be possible.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Ott, LK
Pinsky, MRpinsky@pitt.eduPINSKY
Hoffman, LAlhof@pitt.eduLHOF
Clarke, SP
Clark, S
Ren, Ddir8@pitt.eduDIR8
Hravnak, Mmhra@pitt.eduMHRA
Centers: Other Centers, Institutes, or Units > McGowan Institute for Regenerative Medicine
Date: 1 June 2012
Date Type: Publication
Journal or Publication Title: BMJ Quality and Safety
Volume: 21
Number: 6
Page Range: 509 - 518
DOI or Unique Handle: 10.1136/bmjqs-2011-000423
Schools and Programs: School of Medicine > Critical Care Medicine
Refereed: Yes
ISSN: 2044-5415
MeSH Headings: Adolescent; Adult; Aged; Aged, 80 and over; Critical Care; Female; Humans; Male; Medical Audit; Middle Aged; Outcome Assessment (Health Care); Patient Care Team; Patients; Pennsylvania; Quality of Health Care; Radiology Department, Hospital; Retrospective Studies; Young Adult
PubMed ID: 22389020
Date Deposited: 29 Oct 2012 15:40
Last Modified: 03 Feb 2019 06:55
URI: http://d-scholarship.pitt.edu/id/eprint/16010

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