Resumo

MONARES ZEPEDA, Enrique et al. Rapid response team experience in the intensive care unit of Hospital San Angel Inn Universidad. Rev. Asoc. Mex. Med. Crít. Ter. Intensiva [online]. 2016, vol.30, n.1, pp.25-29. ISSN 0187-8433.

Introduction: When an adequate response to the discovery of a vital sing alarm is not performed this situation is known as "failure to rescue". This situation increase length of stay and costs, also is currently one of the most life threatening issues for the inpatient. An effective rapid response team can ovoid 13 deaths for every 100 interventions. Main goal: To measure the activity and effectiveness of a rapid response team. Material and methods: The activity of a rapid response team for every 1,000 admitted patients. Final endpoints were the events of intra hospital cardiac arrest and non planned admissions to the Intensive Care Unit. The effectiveness of the rapid response team was measured according to the methodology of the number needed to be evaluate (NNE) to detect an outcome. Results: 10 rapid response team activations were recorded for every 1,000 admitted patients. Of these 6 patients were admitted to the Intensive Care Unit in a planned way. With a NNE of 2 this represent 1 activation for every 300 hospitalizated patients. Conclusion: This study represents the first work that evaluates the performance of a rapid response team in the hospitalization floor of a private hospital. We could not demonstrate a decrease on the non planned admissions to the Intensive Care Unit during the study period. This agrees with the literature that reports the best results when the rapid response team activates more than 40 times for every 1,000 admitted patients. However our team reported a NNE of 2 which confers a high effectiveness.

Palavras-chave : Rapid response team; non planned admission; intrahospital cardiac arrest; number needed to evaluate.

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