Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/26172
Title: Use of the pre-medical emergency team tier of rapid response systems: A scoping Review.
Austin Authors: Sprogis, Stephanie K;Currey, Judy;Jones, Daryl A ;Considine, Julie
Affiliation: Deakin University: School of Nursing and Midwifery & Centre for Quality and Patient Safety in the Institute for Health Transformation, 1 Gheringhap St, Geelong, Victoria 3220, Australia
Deakin University: Deakin Learning Futures, Office of the Deputy Vice Chancellor (Education), 1 Gheringhap St, Geelong, Victoria 3220, Australia
School of Public Health and Preventive Medicine, Monash University, Wellington Rd, Clayton, Victoria 3800, Australia
Department of Surgery, University of Melbourne, Parkville, Victoria 3010, Australia
Deakin University: School of Nursing and Midwifery & Centre for Quality and Patient Safety in the Institute for Health Transformation, 1 Gheringhap St, Geelong, Victoria 3220, Australia
Centre for Quality and Patient Safety Research - Eastern Health Partnership, 2/5 Arnold St, Box Hill, Victoria 3128, Australia
Intensive Care
Issue Date: 29-Mar-2021
metadata.dc.date: 2021-03-29
Publication information: Intensive & Critical Care Nursing 2021; online first: 29 March
Abstract: The aim of this review was to explore use of the pre-Medical Emergency Team (pre-MET) tier of Rapid Response Systems to recognise and respond to adult ward patients experiencing early clinical deterioration. A scoping review of studies published in English reporting on use of a pre-MET tier in adult ward patients was conducted. Three databases were searched (Medline, CINAHL, EMBASE) for studies published between January 1995 and September 2020. Two researchers independently performed screening and quality assessments. Findings were synthesised thematically. Reporting of the review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Six of 1669 studies were included in this review. All were single-site studies of single-parameter Rapid Response Systems in Australian hospitals. Five were quantitative studies; one had a qualitative design. Studies fulfilled 50-100% of quality criteria. Two themes were constructed: Afferent processes - Recognising and escalating pre-MET events; and Efferent processes - Pre-MET reviews and associated interventions. There was disparity between clinical practice and pre-MET escalation protocols, and reports of nurse-initiated management of early deterioration. Prospective methods and exploration of multidisciplinary perspectives were notable research gaps. Use of the pre-MET tier of Rapid Response Systems is under-researched. Further research is needed to understand barriers and facilitators influencing use of pre-MET strategies to address patient deterioration.
URI: https://ahro.austin.org.au/austinjspui/handle/1/26172
DOI: 10.1016/j.iccn.2021.103041
PubMed URL: 33795182
Type: Journal Article
Subjects: Clinical deterioration
Early medical intervention
Hospital rapid response team
Nursing
Patient care team
Patient safety
Appears in Collections:Journal articles

Show full item record

Page view(s)

24
checked on Jul 2, 2021

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.