Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10144
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dc.contributor.authorJones, Daryl Aen
dc.contributor.authorBates, Sen
dc.contributor.authorWarrillow, Stephen Jen
dc.contributor.authorGoldsmith, Donnaen
dc.contributor.authorKattula, Aen
dc.contributor.authorWay, Men
dc.contributor.authorGutteridge, Geoffrey Aen
dc.contributor.authorBuckmaster, Jonathanen
dc.contributor.authorBellomo, Rinaldoen
dc.date.accessioned2015-05-15T23:30:07Z
dc.date.available2015-05-15T23:30:07Z
dc.date.issued2006-04-01en
dc.identifier.citationInternal Medicine Journal; 36(4): 231-6en
dc.identifier.govdoc16640740en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/10144en
dc.description.abstractMedical Emergency Teams (MET) have been developed to identify, review and manage acutely unwell ward patients. Previous studies have suggested that there may be obstacles to the utilization and activation of the MET.To determine the effect of a detailed education programme on the rate of utilization of the MET system 3.5 years after its introduction in a University teaching hospital.Prospective interventional study involving a detailed programme of education, feedback and decision support for nursing and medical staff given before, during and after implementation of a MET system. We measured the number of MET calls per month for both medical and surgical patients for 109 250 consecutive admissions to the acute care campus of Austin Health from August 2000 to June 2004.Overall activation of the MET increased from 25 calls per month to a peak of 79 calls per month over the study period (average increase of one MET call/month). After standardization for monthly admissions, the increase in MET utilization for surgical patients (increase by 1.13 MET/1000 admissions/month) was 4.9-fold greater than for medical patients (increase by 0.23 MET/1000 admissions/month; P < 0.0001). At the peak level of activity (April 2004), the MET was called to review 8.4% of surgical and 2.7% of medical admissions (P < 0.0001).There was a progressive increase in the utilization of the MET service in the 3.5 years after implementation, with the rate of uptake 4.9 times greater for surgical than for medical patients. Sustained uptake of the MET system is possible, but increased utilization may take several years to develop. Short-term studies testing the efficacy of the MET system are likely to significantly underestimate its effect on reducing adverse events. Intensive care unit resource adjustments will become necessary to meet increased demand.en
dc.language.isoenen
dc.subject.otherCritical Illnessen
dc.subject.otherEducation, Continuingen
dc.subject.otherEmergency Medicine.manpoweren
dc.subject.otherHealth Services Researchen
dc.subject.otherHospitals, Teaching.organization & administrationen
dc.subject.otherHumansen
dc.subject.otherMedical Staff, Hospital.educationen
dc.subject.otherNursing Staff, Hospital.educationen
dc.subject.otherOutcome Assessment (Health Care)en
dc.subject.otherPatient Care Team.utilizationen
dc.subject.otherProgram Evaluationen
dc.subject.otherProspective Studiesen
dc.subject.otherSurgery Department, Hospitalen
dc.titleEffect of an education programme on the utilization of a medical emergency team in a teaching hospital.en
dc.typeJournal Articleen
dc.identifier.journaltitleInternal Medicine Journalen
dc.identifier.affiliationClinical Governance Unit, Melbourne University, Austin Hospital, Victoria, Australiaen
dc.identifier.doi10.1111/j.1445-5994.2006.01045.xen
dc.description.pages231-6en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/16640740en
dc.type.austinJournal Articleen
local.name.researcherBellomo, Rinaldo
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptIntensive Care-
crisitem.author.deptIntensive Care-
crisitem.author.deptIntensive Care-
crisitem.author.deptData Analytics Research and Evaluation (DARE) Centre-
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