Medical Emergency Teams Implementation and Outcome Measurement
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Michael A. DeVita, Kenneth Hillman, Rinaldo Bellomo
:
Michael A. DeVita, Ken Hillman, Rinaldo Bellomo
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Medical Emergency Teams Implementation and Outcome Measurement
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Springer-Verlag
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9780387279213
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1
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CHF 47.30
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:
Klinische Fächer
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English
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296
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Wasserzeichen
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PC/MAC/eReader/Tablet
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PDF
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.
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
