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Clinical Triggers: An Alternative to a Rapid Response Team

机译：临床诱因：快速反应团队的替代选择

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摘要

DHMC's clinical triggers program is a promising approach that addresses an unmet patient need. We have seen dramatic reductions in our non-ICU cardiopulmonary arrest rates, along with our ICU bounceback rates. In the context of our hospital, this program aligns well with our teaching mission while maximizing the resources that are currently available. RRTs are certainly one way to prevent the unnoticed deterioration of patients,rnbut programs such as ours, which focus on prevention of ongoing deterioration, may yield more benefit for the patients inrninstitutions similar to DHMC. Although our study does not alter the weight of evidence in the literature, it does offer a newrnfocus on the afferent limb by clarifying the expectations of the primary responders. This was the essence of the deficiency inrnthe aforementioned case study. Death is the natural, albeit sad, endpoint of all lives; the overarching goal of DHMC's clinicalrntriggers system is to prevent the premature death of a hospitalized patient and thereby improve patient safety.
机译：DHMC的临床触发程序是一种有前途的方法，可以满足未满足的患者需求。我们已经看到非ICU心肺骤停率以及ICU反弹率显着降低。在我们医院的背景下，该计划与我们的教学使命非常吻合，同时最大限度地利用了现有资源。 RRT无疑是预防患者不被察觉的恶化的一种方法，但是像我们这样专注于预防持续恶化的计划，可能会为类似于DHMC的患者机构带来更多收益。尽管我们的研究并未改变文献中的证据权重，但它通过阐明主要反应者的期望，确实提供了对传入肢体的新关注。这就是上述案例研究的不足之处。死亡是所有生命的自然终点，尽管悲伤。 DHMC临床触发系统的总体目标是防止住院患者过早死亡，从而提高患者安全性。

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  • 来源
    《Joint Commission Journal on Quality and Safety》 |2009年第3期|164-174|共11页
  • 作者

    Kendra Moldenhauer; Allison Sabel; Eugene Chu; Philip S. Mehler;

  • 作者单位

    Quality and Regulatory Compliance, Denver Health Medical Center, Denver;

    Biostatistics and Clinical Data Warehousing, Denver Health Medical Center Biostatistics and Informatics, Colorado School of Public Health, University of Colorado, Denver;

    Hospital Mdicine, Denver Health Medical Center University of Colorado;

    Denver Health Medical Center University of Colorado;

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