1. National Survey: How Do We Approach the Patient at Risk of Clinical Deterioration outside the ICU in the Spanish Context?
- Author
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Universitat Rovira i Virgili, Clemente Vivancos Á; León Castelao E; Castellanos Ortega Á; Bodi Saera M; Gordo Vidal F; Martin Delgado MC; Jorge-Soto C; Fernandez Mendez F; Igeño Cano JC; Trenado Alvarez J; Caballero Lopez J; Parraga Ramirez MJ, Universitat Rovira i Virgili, and Clemente Vivancos Á; León Castelao E; Castellanos Ortega Á; Bodi Saera M; Gordo Vidal F; Martin Delgado MC; Jorge-Soto C; Fernandez Mendez F; Igeño Cano JC; Trenado Alvarez J; Caballero Lopez J; Parraga Ramirez MJ
- Abstract
Background: Anticipating and avoiding preventable intrahospital cardiac arrest and clinical deterioration are important priorities for international healthcare systems and institutions. One of the internationally followed strategies to improve this matter is the introduction of the Rapid Response Systems (RRS). Although there is vast evidence from the international community, the evidence reported in a Spanish context is scarce. Methods: A nationwide cross-sectional research consisting of a voluntary 31-question online survey was performed. The Spanish Society of Intensive, Critical and Coronary Care Medicine (SEMICYUC) supported the research. Results: We received 62 fully completed surveys distributed within 13 of the 17 regions and two autonomous cities of Spain. Thirty-two of the participants had an established Rapid Response Team (RRT). Common frequency on measuring vital signs was at least once per shift but other frequencies were contemplated (48.4%), usually based on professional criteria (69.4%), as only 12 (19.4%) centers used Early Warning Scores (EWS) or automated alarms on abnormal parameters. In the sample, doctors, nurses (55%), and other healthcare professionals (39%) could activate the RRT via telephone, but only 11.3% of the sample enacted this at early signs of deterioration. The responders on the RRT are the Intensive Care Unit (ICU), doctors, and nurses, who are available 24/7 most of the time. Concerning the education and training of general ward staff and RRT members, this varies from basic to advanced and specific-specialized level, simulating a growing educational methodology among participants. A great number of participants have emergency resuscitation equipment (drugs, airway adjuncts, and defibrillators) in their general wards. In terms of qu
- Published
- 2022