Medical Emergency Teams (eBook)

Implementation and Outcome Measurement

Rinaldo Bellomo, Michael A. DeVita, Ken Hillman (Herausgeber)

eBook Download: PDF

2007 | 2006
XX, 296 Seiten
Springer New York (Verlag)
978-0-387-27921-3 (ISBN)

Infos

Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of 'C- dition C (Crisis),' as it was called to distinguish it from 'Condition A (Arrest). 'We thought it absurd to intervene only after cardiac arrest had occurred,because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible.

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Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of "e;C- dition C (Crisis),"e; as it was called to distinguish it from "e;Condition A (Arrest). "e;We thought it absurd to intervene only after cardiac arrest had occurred,because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible.

Inhalt

Foreword Why Critical Care Evolved METs? 6
Preface 8
Contents 11
Contributors 14
Measuring and Improving Safety 18
The Evolution of the Health Care System 35
Process Change in Health Care Institutions: Top- Down or Bottom- Up? 41
The Challenge of Predicting In- Hospital Iatrogenic Deaths 49
Overview of Hospital Medicine 66
Medical Trainees and Patient Safety 72
Matching Levels of Care with Levels of Illness 80
General Principles of Medical Emergency Teams 97
Potential Sociological and Political Barriers to Medical Emergency Team Implementation 108
Overview of Various Medical Emergency Team Models 121
Early Goal-Directed Therapy 133
Nurse-Led Medical Emergency Teams: A Recipe for Success in Community Hospitals 139
ICU Without Walls: A New York City Model 151
Hospital Size and Location and the Feasibility of the Medical Emergency Team 162
Medical Emergency Teams in Teaching Hospitals 169
The Nurse’s Perspective 180
The Hospital Administrator’s Perspective 190
Personnel Resources for Crisis Response 201
Equipment, Medications, and Supplies for a Medical Emergency Team Response 216
Resident Training and the Medical Emergency Team 234
Teaching Organized Crisis Team Functioning Using Human Simulators 249
Information Systems Considerations: Integration of Medical Emergency Team Clinical Indicators 263
Evaluating Complex System Interventions in Patient Safety 275
Integrating MET into a Patient Safety Program 289
Are Medical Emergency Teams Worth the Cost? 298
Index 305

Produkt-Details

• Erscheint lt. Verlag: 3.7.2007
• Zusatzinfo: XX, 296 p. 50 illus.
• Verlagsort: New York
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Anästhesie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Intensivmedizin
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Notfallmedizin
• Schlagworte: Care • crisis response • critical care • medical emergency team • Met • patient safety • rapid response system • RRS
• ISBN-10: 0-387-27921-0 / 0387279210
• ISBN-13: 978-0-387-27921-3 / 9780387279213