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Title: Improving the management of medical emergency team calls due to suspected infections: A before-after study.
Austin Authors: Ludikhuize, Jeroen;Marshall, David;Devchand, Misha ;Walker, Steven T ;Talman, Andrew;Taylor, Carmel ;McIntyre, Tammie ;Trubiano, Jason ;Jones, Daryl A 
Affiliation: Intensive Care
HagaZiekenhuis, Department of Intensive Care Medicine in the Hague, the Netherlands.;University Medical Center Amsterdam Location VuMC, Department of Acute Internal Medicine in Amsterdam, the Netherlands.
Infectious Diseases
The University of Melbourne, Department of Surgery in Melbourne, Australia.
Issue Date: Sep-2023
Date: 2023
Publication information: Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine 2023-09; 25(3)
Abstract: To introduce a management guideline for sepsis-related MET calls to increase lactate and blood culture acquisition, as well as prescription of appropriate antibiotics. Prospective before (Jun-Aug 2018) and after (Oct-Dec 2018) study was designed. A public university linked hospital in Melbourne, Australia. Adult patients with MET calls related to sepsis/infection were included. The primary outcome measure was the proportion of MET calls during which both a blood culture and lactate level were ordered. Secondary outcomes included the frequency with which new antimicrobials were commenced by the MET, and the presence and class of administered antimicrobials. There were 985 and 955 MET calls in the baseline and after periods, respectively. Patient features, MET triggers, limitations of treatment and disposition after the MET call were similar in both groups. Compliance with the acquisition of lactates (p = 0.101), respectively. There was a slight reduction in compliance with lactate acquisition in the after period (97% vs 99%; p = 0.06). In contrast, there was a significant increase in acquisition of blood cultures in the after period (69% vs 78%; p = 0.035). Introducing a sepsis management guideline and enhanced linkage with an AMS program increased blood culture acquisition and decreased broad spectrum antimicrobial use but didn't change in-hospital mortality.
DOI: 10.1016/j.ccrj.2023.06.004
Journal: Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine
Start page: 136
End page: 139
PubMed URL: 37876370
Type: Journal Article
Subjects: Clinical deterioration
Implementation management protocol
Medical emergency team
Rapid response team
Appears in Collections:Journal articles

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