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dc.contributor.authorGillon, Stuarten
dc.contributor.authorRadford, Samen
dc.contributor.authorChalwin, Richarden
dc.contributor.authorDevita, Michael Aen
dc.contributor.authorEndacott, Ruthen
dc.contributor.authorJones, Daryl Aen
dc.identifier.citationCritical Care and Resuscitation; 14(3): 227-35en
dc.description.abstractRecently there has been increased focus on improved detection and management of deteriorating patients in Australian hospitals. Since the introduction of the medical emergency team (MET) model there has been an increased role for intensive care unit staff in responding to deterioration of patients in hospital wards. Review and management of MET patients differs from the traditional model of ward patient review, as ICU staff may not know the patient. Furthermore, assessment and intervention is often time-critical and must occur simultaneously. Finally, about 10% of MET patients require intensive care-level interventions to be commenced on the ward, and this requires participation of non-ICU-trained ward staff. • To date, the interventions performed by MET staff and approaches to training responders have been relatively under investigated, particularly in the Australian and New Zealand context. In this article we briefly review the principles of the MET and contend that activation of the MET by ward staff represents a response to a medical crisis. We then outline why MET intervention differs from traditional ward-based doctor-patient encounters, and emphasise the importance of non-technical skills during the MET response. Finally, we suggest ways in which the skills required for crisis resource management within the MET can be taught to ICU staff, and the potential benefits, barriers and difficulties associated with the delivery of such training in New Zealand and Australia.en
dc.subject.otherClinical Competenceen
dc.subject.otherCritical Illness.therapyen
dc.subject.otherEmergency Medical Services.organization & administrationen
dc.subject.otherModels, Theoreticalen
dc.subject.otherPatient Care Team.organization & administrationen
dc.titleCrisis resource management, simulation training and the medical emergency team.en
dc.typeJournal Articleen
dc.identifier.journaltitleCritical Care and Resuscitationen
dc.identifier.affiliationDepartment of Intensive Care, Austin Health, Heidelberg, Victoria, Australia, Australiaen
Appears in Collections:Journal articles

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