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962 results on '"Wheeler, Derek S."'

252. Critical Care Delivery: The Importance of Process of Care and ICU Structure to Improved Outcomes: An Update From the American College of Critical Care Medicine Task Force on Models of Critical Care.

Author

Weled, Barry J., Adzhigirey, Lana A., Hodgman, Tudy M., Brilli, Richard J., Spevetz, Antoinette, Kline, Andrea M., Montgomery, Vicki L., Puri, Nitin, Tisherman, Samuel A., Vespa, Paul M., Pronovost, Peter J., Rainey, Thomas G., Patterson, Andrew J., and Wheeler, Derek S.

Published
2015
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253. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.

Author

Brady, Patrick W., Zix, Julie, Brilli, Richard, Wheeler, Derek S., Griffith, Kristie, Giaccone, Mary Jo, Dressman, Kathy, Kotagal, Uma, Muething, Stephen, and Tegtmeyer, Ken

Subjects
EVALUATION of medical care, PREVENTION of disease progression, CHILDREN'S hospitals, INTENSIVE care units, LONGITUDINAL method, MEDICAL personnel, PEDIATRICS, INDUSTRIAL psychology, QUALITY assurance, RESEARCH funding, SELF-efficacy, STATISTICS, CRISIS intervention (Mental health services), FAMILY roles, HUMAN services programs, PRINT materials, PATIENTS' families, EVALUATION of human services programs, ELECTRONIC health records, DESCRIPTIVE statistics
Abstract

Background: Family-activated medical emergency teams (MET) have the potential to improve the timely recognition of clinical deterioration and reduce preventable adverse events. Adoption of family-activated METs is hindered by concerns that the calls may substantially increase MET workload. We aimed to develop a reliable process for family activated METs and to evaluate its effect on MET call rate and subsequent transfer to the intensive care unit (ICU). Methods: The setting was our free-standing children's hospital. We partnered with families to develop and test an educational intervention for clinicians and families, an informational poster in each patient room and a redesigned process with hospital operators who handle MET calls. We tracked our primary outcome of count of family activated MET calls on a statistical process control chart. Additionally, we determined the association between family-activated versus clinician-activated MET and transfer to the ICU. Finally, we compared the reason for MET activation between family calls and a 2:1 matched sample of clinician calls. Results: Over our 6-year study period, we had a total of 83 family-activated MET calls. Families made an average of 1.2 calls per month, which represented 2.9% of all MET calls. Children with family-activated METs were transferred to the ICU less commonly than those with clinician MET calls (24% vs 60%, p<0.001). Families, like clinicians, most commonly called MET for concerns of clinical deterioration. Families also identified lack of response from clinicians and a dismissive interaction between team and family as reasons. Conclusions: Family MET activations were uncommon and nota burden on responders. These calls recognised clinical deterioration and communication failures. Family activated METs should be tested and implemented in hospitals that care for children. [ABSTRACT FROM AUTHOR]

Published
2015
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260. A Tale of Two Sisters

Author

Wheeler, Derek S., primary, Mehta, Renuka, additional, Fisher, Lyle E., additional, Segeleon, Joseph E., additional, and Pearson-Shaver, Anthony L., additional

Published
2006
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267. Sepsis.

Author

Wynn, James L., Hazelzet, Jan A., Shanley, Thomas P., Wong, Hector R., and Wheeler, Derek S.

Published
2014
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