دورية أكاديمية
أعرض في EDS

Development of a novel rapid response event review process for quality improvement.

التفاصيل البيبلوغرافية
العنوان: Development of a novel rapid response event review process for quality improvement.
المؤلفون: Osnard M; Johns Hopkins School of Medicine, Baltimore, Maryland, USA mosnard1@jh.edu.; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Meredith RR; Johns Hopkins School of Medicine, Baltimore, Maryland, USA.; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Leventhal KG; Johns Hopkins School of Medicine, Baltimore, Maryland, USA.; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Dalal SP; Johns Hopkins School of Medicine, Baltimore, Maryland, USA.; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Niessen TM; Johns Hopkins School of Medicine, Baltimore, Maryland, USA.; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Liu G; Johns Hopkins School of Medicine, Baltimore, Maryland, USA.; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Engels R; Johns Hopkins School of Medicine, Baltimore, Maryland, USA.; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Lehet C; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Cox MR; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Haas A; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Proffen M; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Chan M; The Johns Hopkins Hospital, Baltimore, Maryland, USA., Bodnar BE; The Johns Hopkins Hospital, Baltimore, Maryland, USA.; Johns Hopkins University, Baltimore, Maryland, USA.
المصدر: BMJ open quality [BMJ Open Qual] 2024 Jun 10; Vol. 13 (2). Date of Electronic Publication: 2024 Jun 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101710381 Publication Model: Electronic Cited Medium: Internet ISSN: 2399-6641 (Electronic) Linking ISSN: 23996641 NLM ISO Abbreviation: BMJ Open Qual Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BMJ Publishing Group
مواضيع طبية MeSH: Quality Improvement* , Hospital Rapid Response Team*/standards , Hospital Rapid Response Team*/statistics & numerical data , Hospital Rapid Response Team*/trends, Humans
مستخلص: Introduction: Rapid response team (RRT) and code activation events occur relatively commonly in inpatient settings. RRT systems have been the subject of a significant amount of analysis, although this has been largely focused on the impact of RRT system implementation and RRT events on patient outcomes. There is reason to believe that the structured assessment of RRT and code events may be an effective way to identify opportunities for system improvement, although no standardised approach to event analysis is widely accepted. We developed and refined a protocolised system of RRT and code event review, focused on sustainable, timely and high value event analysis meant to inform ongoing improvement activities.
Methods: A group of clinicians with expertise in process and quality improvement created a protocolised analytic plan for rapid response event review, piloted and then iteratively optimised a systematic process which was applied to all subsequent cases to be reviewed.
Results: Hospitalist reviewers were recruited and trained in a methodical approach. Each reviewer performed a chart review to summarise RRT events, and collect specific variables for each case (coding). Coding was then reviewed for concordance, at monthly interdisciplinary group meetings and 'Action Items' were identified and considered for implementation. In any 12-month period starting in 2021, approximately 12-15 distinct cases per month were reviewed and coded, offering ample opportunities to identify trends and patterns.
Conclusion: We have developed an innovative process for ongoing review of RRT-Code events. The review process is easy to implement and has allowed for the timely identification of high value improvement opportunities.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: electronic health records; healthcare quality improvement; hospital medicine; patient safety; quality improvement methodologies
تواريخ الأحداث: Date Created: 20240610 Date Completed: 20240610 Latest Revision: 20240614
رمز التحديث: 20240614
مُعرف محوري في PubMed: PMC11168121
DOI: 10.1136/bmjoq-2023-002664
PMID: 38858076
قاعدة البيانات: MEDLINE
الوصف
تدمد:2399-6641
DOI:10.1136/bmjoq-2023-002664