Research Article
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Hastanelerde kardiyak arrestlerin nasıl önlenebileceğine ilişkin model önerileri

Year 2019, Volume: 1 Issue: 4, 92 - 98, 22.09.2019
https://doi.org/10.38053/agtd.585431

Abstract

Amaç: Kardiyak arrestler hastanelerde
sık görülür ve tedavideki gecikmeler düşük sağkalım ve kötü nörolojik sonuçlara
neden olur. Kanıtlar, kardiyak arrestten önce hastaların fizyolojik
parametrelerinin bozulmaya başladığını ve bunların büyük bir çoğunluğunun
önlenebileceğini göstermektedir. Bu çalışmanın amacı, kardiyopulmoner arrest
gelişmeden önce yüksek riskli pediatrik ve erişkin hastaların fiyolojik
parametrelerindeki değişikliklerin erken tanımlanmasını sağlayacak erken uyarı
skorlama modellerinin geliştirilmesidir.

Gereç ve Yöntem: Erken uyarı skoru ile ilgili
kanıta dayalı çalışmalar gözden geçirildi, pediatrik ve erişkin hastalar için
uzman görüşleri alınarak model önerileri geliştirildi.

Bulgular: Yetişkin hastalar için kalp atım
hızı, solunum sayısı, vücut sıcaklığı ve bilinç durumu parametreleri, referans
aralıkları ve hastaya uygulanan tıbbi müdahaleyi içeren bir algoritma önerildi.
Pediatrik hastalar için solunum, dolaşım, davranışsal / nörolojik sistem
parametreleri, referans aralıkları, hastaya uygulanan tıbbi müdahaleyi içeren
bir algoritma önerildi.







Sonuç:
Kötüleşen
hastaların erken tanımlanması hastanelerde mortaliteyi, hastanede kalış
süresini ve maliyetleri azaltır.



Supporting Institution

Destekleyen Kurum Bulunmamaktadır.

References

  • 1. Casserly B. Hospital-based early warning scoring systems, do we believe? Annals ATS 2015; 12: 1430-1.
  • 2. Gerry S, Birks J, Bonnici T, Watkinson PJ, Kirtley S, Collins GS. Early warning scores for detecting deterioration in adult hospital patients: a systematic review protocol. BMJ Open 2017: 1-5.
  • 3. Riess, M. New developments in cardiac arrest management. Adv Anesth 2016; 34: 1-22.
  • 4. Hodgetts TJ, Kenward G, Vlackonikolis I, et al. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation 2002: 115-23.
  • 5. Tibballs J, Kinney S. Reduction of hospital mortality and of preventable cardiac arrest and death on ıntroduction of a pediatric medical emergency team. Pediatr Crit Care Med. 2009; 10: 306-12.
  • 6. Pedersen NE. Early Warning Scores For The Detection Of Critical Illness In Hospitalised Patients, phD thesis, Unıversıty Of Copenhagen Faculty Of Health And M edical Sciences, Copenhagen; 2017.
  • 7. Mitchell IA, McKay H, Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted ıntervention on early recognition and intervention ın deteriorating hospital patients. Resuscitation 2010; 81: 658-66.
  • 8. Fuhrmann L, Østergaard D, Lippert A, Perner E. A multi-professional full-scale simulation course in the recognition and management of deteriorating hospital patients. Resuscitation 2009; 80: 669-73.
  • 9. Patel R, Nugawela M, Edwards H, et al. Can early warning scores identify deteriorating patients in pre-hospital settings? A systematic review. Ressuscitation 2018; 132: 101-11.
  • 10. Hammond NE, Spooner AJ, Barnett AG, Corley A, Brown P, Fraser JF. The effect of implementing a modified early warning scoring (mews) system on the adequacy of vital sign documentation. ACCCN 2013; 26: 18-22.
  • 11. Ludikhuize J, Dijkgraaf M, Smorenburg S, et al. Cost and outcome of medical emergency teams (comet) study. Design and rationale of a dutch multi-center study. Br J Med Med Res 2013; 131-47.
  • 12. DeVoe B, Roth A, Maurer G, et al. Correlation of the predictive ability of early warning metrics and mortality for cardiac arrest patients receiving in-hospital advanced cardiovascular life support. Heart & Lung 2016; 45: 497-502.
  • 13. Mapp I, Davis L, Krowchuk H. Prevention of unplanned intensive care unit admissions and hospital mortality by early warning systems. Dimensions of Critical Care Nursing 2013; 32: 300-9.
  • 14. Abbott T, Torrance H, Cron N, Vaid N, Emmanuel J. A single-centre cohort study of national early warning score (news) and near patient testing in acute medical admissions. European Journal of Internal Medicine 2016; 35: 78-82.
  • 15. Roberts D, Djärv T. Preceding national early warnings scores among in-hospital cardiac arrests and their impact on survival. Am J Emerg Med 2017; 35: 1601-6.
  • 16. Goldhill DR, Worthington L, Mulcahy A, Tarling M, Sumner A. The patient at risk team: Identifying and managing seriously ill ward patients. Anaesthesia 1999; 54: 853-60.
  • 17. Sefton G, Tume L, Christian C. The silver half-hour: amending existing processes to prioritise responding to children who trigger a paediatric early warning system. Arch Dis Child 2008; 93: 286.
  • 18. Gold D, Mihalov L, Cohen D. Evaluating the pediatric early warning score (pews) system for admitted patients in the pediatric emergency department. Acad Emerg Med 2014;21: 1249-56.
  • 19. Hillman MK, Bristow P, Chey T, Daffurn K, Jacques T, Norman S, Bishop G, Simmons G. Duration of life-threatening antecedents prior to intensive care admission. Intensive Care Med 2002; 28: 1629-34.
  • 20. Albert BL, Huesman L. Development of a modified early warning score using the electronic medical record. Dimens Crit Care Nurs 2011; 30: 283-92.
  • 21. Schein R, Hazday N, Pena M, Ruben B, Sprong C. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest 1990; 98: 1388-92.
  • 22. Hollis R, Graham L, Lazenby J, Brown D, Taylor B, Heslin M, Rue L, Hawn M. A role for the early warning score in early identification of critical postoperative complications. Ann Surg 2016; 263: 918-923.
  • 23. Edelson DP. A weak link in the rapid response system. Arch Intern Med 2010; 170: 12-13.
  • 24. Shaw J, Fothergill R, Clark S, Moore F. Can the prehospital national early warning score identify patients most at risk from subsequent deterioration? BMJ Emerg Med J 2017; 0: 1–5.
  • 25. Jarvis S, Kovacs C, Briggs J, et al. Aggregate national early warning score (news) values are more important than high scores for a single vital signs parameter for discriminating the risk of adverse outcomes. Resuscitation 2015; 87: 75-80.
  • 26. Ofoma U, Basnet S, Berger A, Kirchner L, Girotra S. Trends in survival after in-hospital cardiac arrest during nights and weekends. Journal Of The American College Of Cardiology 2018; 71: 402-11.
  • 27. Morgan RJM, Williams F, Wright MM. An early warning scoring system for detecting developing critical illness. Clinical Intensive Care 1997; 8: 100-14.
  • 28. Stenhouse C, Coates S, Tivey M, Allsop P, Parker T. Prospective evaluation of a modified early warning score to aid earlier detection of patients developing critical illness on a general surgical ward. Br J Anaesth 2000; 84: 663P.
  • 29. Nishijima I, Oyadomari S, Maedomari S, et al. Use of a modified early warning score system to reduce the rate of in-hospital cardiac arrest. Journal of Intensive Care 2016; 4: 1-6.
  • 30. The Royal College of Physicians. National early warning score (news) 2: Standardising the assessment of acute-illness severity in the NHS. London: RCP; 2012.
  • 31. Monaghan A. Detecting and managing deterioration in children. Paediatric Nursing 2005;17: 32-5.
  • 32. Joint Commission International (JCI) accreditation standards for hospital including standards for academic medical center hospitals, 5th Edition. Department of Publications Joint Commission Resources. 2014.
  • 33. Moon A, Cosgrove JF, Lea D, Fairs A, Cressey DM. An eight year audit before and after the introduction of modified early warning score (mews) charts, of patients admitted to a tertiary referral intensive care unit after cpr. Resuscitation 2011; 82: 150-4.
  • 34. Parshuram CS, Dryden-PalmeR K, Farrel C, et al. Effect of a pediatric earlywarning system on all-cause mortality in hospitalized pediatric patients the EPOCH randomized clinical trial. JAMA 2018; 319: 1002-12.
  • 35. Chen L, Nallamothu B, Spertus J, Li Y, Chan P. Association between a hospital’s rate of cardiac arrest incidence and cardiac arrest survival. JAMA Intern Med 2013; 173: 1186-94.
  • 36. Halpern N. Early warning systems for hospitalized pediatric patients. JAMA 2018; 319: 981-2.
  • 37. Leuvan CV, Mitchell IA. Missed opportunities? An observational study of vital sign measurements. Critical Care and Resuscitation 2008; 10: 111-5.
  • 38. Hogan J. Why don’t nurses monitor the respiratory rates of patients? Br J Nurs 2006; 15: 489-92.
  • 39. Bellomo R. Are medical emergency teams picking up enough patients with increased respiratory rate? Crit Care Med 2004; 32: 1983-5.
  • 40. McQuillan P, Pilkington S, Allan A, et al. Confidential inquiry into quality of care before admission to intensive care. BMJ 1998; 316: 1853-8.
  • 41. Hillman KM, Bristow PJ, Chey T, et al. Antecedents to hospital deaths. Internal Medicine 2001; 31: 343-8.
  • 42. Kause J, Smith G, Prytherch D, Parr M, Flabouris A, Hillmane K. A comparison of antecedents to cardiac arrests, deaths and emergency intensive care admissions in Australia and New Zealand, and the United Kingdom-the ACADEMIA Study. Resuscitation 2004; 62: 275-82.
  • 43. Green AL, Williams A. An evaluation of an early warning clinical marker referral tool. Intensive and Critical Care Nursing 2006; 22- 274-82.
  • 44. Zografakis Sfakianakis MZ, De Bree E, Linardakis M, Askitopoulou H, Papaioannou A, Aggouridakis P. The value of the modified early warning score for unplanned ıntensive care unit admissions of patients treated ın hospital general wards. International Journal of Nursing Practice 2018; 24: e12632.
  • 45. Mathukia C, Fan W, Vadyak K, Biege C, Krishnamurthy M. Modified early warning system improves patient safety and clinical outcomes in an academic community hospital. Journal of Community Hospital Internal Medicine Perspectives 2015; 5: 26716.
  • 46. Johnson S, Nileswar A. Effectiveness of modified early warning score (mews) in the outcome of in-hospital adult cardiac arrests in a tertiary hospital. J Pulm Respir Med 2015; 5: 1-3.
  • 47. Smith B, Chiovaro J, O’Neil M, et al. Early warning system scores for clinical deteriorationin hospitalized patients: a systematic review. Annals ATS 2014; 11: 1454-65.
  • 48. DeVita MA, Braithwaite RS, Mahidhara R, Stuart S, Foraida M, Simmons RL. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care 2004; 13: 251-4.
  • 49. Akre M, Finkelstein M, Erickson M, Liu M, Vanderbilt L, Billman G. Sensitivity of the pediatric early warning score to identify patient deterioration. Pediatrics 2010; 125: e763-9.
  • 50. Murch P, Warren K. Developing the role of the critical care liaison nurse. Nurs Crit Care 2001; 5: 221-5.
  • 51. McNeill G, Bryden D. Do either early warning systems or emergency response teams improve hospital patient survival? A systematic review. Resuscitation 2013; 84: 1652-67.
  • 52. Winters BD, Weaver SJ, Pfoh E, Yang T, Pham JC, Dy SM. Rapid response systems as a patient safety strategy: a systematic review. Ann Intern Med 2013; 158: 417-25.
  • 53. Bonafide C, Localio R, Roberts K, Nadkarni V, Weirich C, Keren R. Impact of rapid response system implementation on critical deterioration events in children. JAMA Pediatr 2013; 168: 25-33.
  • 54. Chan PA, Khalid A, Longmore LS, Berg PA, Kosiborod M, Spertus JA. Hospital-wide code rates and mortality before and after ımplementation of a rapid response team. JAMA 2008; 300: 2506-13.
  • 55. Berwick DM, Hackbarth AD, McCannon CJ. IHI replies to “The 100,000 Lives Campaign: a scientific and policy review. Jointt Commission On Accreditastion of Helathcare Organizations. Journal on Quality and Patient Safety 2006; 32: 628-30.
  • 56. Alam N, Hobbelink EL, Van Tienhoven AJ, Van de Ven PM, Jansma EP, Nanayakkara PW The ımpact of the use of the early warning score (ews) on patient outcomes: a systematic review. Resuscitation 2014; 85: 587e594.
  • 57. Fox A, Elliott N. Early warning scores: a sign of deterioration in patients and systems. Nursing Management 2015; 22: 26-31.
  • 58. The University of York, Centre for Reviews and Dissemination (CRD). Impact of early warning systems on patient outcomes. Effectiveness Matters 2014: 1-4.

Model recommandations for how to prevent cardiac arrest in hospitals

Year 2019, Volume: 1 Issue: 4, 92 - 98, 22.09.2019
https://doi.org/10.38053/agtd.585431

Abstract

Aim: Cardiac arrests
are common in hospitals, and delays in treatment have resulted in lower
survival and worse neurological outcomes. Evidence shows that patients'
physiological parameters begin to deteriorate before cardiopulmonary arrest and
vast majority of them can be prevented. The aim of this study is to develop
early warning scoring models that will enable early identification of the
changes in the physiological parameters of pediatric and adult patients with
high risk before cardiopulmonary arrest.

Material and Method: Evidence-based studies on early
warning scoring have been reviewed, and model recommendations have been
developed for pediatric and adult patients by taking specialist opinions.

Results: An algorithm that includes heart
rate, blood pressure, respiratory rate, body temperature, state of
consciousness parameters, reference intervals and medical interventions given
to the patient has been recommended for adults. For pediatric patients, an
algorithm that includes respiratory, circulatory and behavioral / neurological
system parameters, reference intervals and medical interventions given to the
patient has been recommended.

Conclusion: Early recognition of
deterioriation patients reduces mortality, length of stay and costs in
hospitals.










References

  • 1. Casserly B. Hospital-based early warning scoring systems, do we believe? Annals ATS 2015; 12: 1430-1.
  • 2. Gerry S, Birks J, Bonnici T, Watkinson PJ, Kirtley S, Collins GS. Early warning scores for detecting deterioration in adult hospital patients: a systematic review protocol. BMJ Open 2017: 1-5.
  • 3. Riess, M. New developments in cardiac arrest management. Adv Anesth 2016; 34: 1-22.
  • 4. Hodgetts TJ, Kenward G, Vlackonikolis I, et al. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation 2002: 115-23.
  • 5. Tibballs J, Kinney S. Reduction of hospital mortality and of preventable cardiac arrest and death on ıntroduction of a pediatric medical emergency team. Pediatr Crit Care Med. 2009; 10: 306-12.
  • 6. Pedersen NE. Early Warning Scores For The Detection Of Critical Illness In Hospitalised Patients, phD thesis, Unıversıty Of Copenhagen Faculty Of Health And M edical Sciences, Copenhagen; 2017.
  • 7. Mitchell IA, McKay H, Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted ıntervention on early recognition and intervention ın deteriorating hospital patients. Resuscitation 2010; 81: 658-66.
  • 8. Fuhrmann L, Østergaard D, Lippert A, Perner E. A multi-professional full-scale simulation course in the recognition and management of deteriorating hospital patients. Resuscitation 2009; 80: 669-73.
  • 9. Patel R, Nugawela M, Edwards H, et al. Can early warning scores identify deteriorating patients in pre-hospital settings? A systematic review. Ressuscitation 2018; 132: 101-11.
  • 10. Hammond NE, Spooner AJ, Barnett AG, Corley A, Brown P, Fraser JF. The effect of implementing a modified early warning scoring (mews) system on the adequacy of vital sign documentation. ACCCN 2013; 26: 18-22.
  • 11. Ludikhuize J, Dijkgraaf M, Smorenburg S, et al. Cost and outcome of medical emergency teams (comet) study. Design and rationale of a dutch multi-center study. Br J Med Med Res 2013; 131-47.
  • 12. DeVoe B, Roth A, Maurer G, et al. Correlation of the predictive ability of early warning metrics and mortality for cardiac arrest patients receiving in-hospital advanced cardiovascular life support. Heart & Lung 2016; 45: 497-502.
  • 13. Mapp I, Davis L, Krowchuk H. Prevention of unplanned intensive care unit admissions and hospital mortality by early warning systems. Dimensions of Critical Care Nursing 2013; 32: 300-9.
  • 14. Abbott T, Torrance H, Cron N, Vaid N, Emmanuel J. A single-centre cohort study of national early warning score (news) and near patient testing in acute medical admissions. European Journal of Internal Medicine 2016; 35: 78-82.
  • 15. Roberts D, Djärv T. Preceding national early warnings scores among in-hospital cardiac arrests and their impact on survival. Am J Emerg Med 2017; 35: 1601-6.
  • 16. Goldhill DR, Worthington L, Mulcahy A, Tarling M, Sumner A. The patient at risk team: Identifying and managing seriously ill ward patients. Anaesthesia 1999; 54: 853-60.
  • 17. Sefton G, Tume L, Christian C. The silver half-hour: amending existing processes to prioritise responding to children who trigger a paediatric early warning system. Arch Dis Child 2008; 93: 286.
  • 18. Gold D, Mihalov L, Cohen D. Evaluating the pediatric early warning score (pews) system for admitted patients in the pediatric emergency department. Acad Emerg Med 2014;21: 1249-56.
  • 19. Hillman MK, Bristow P, Chey T, Daffurn K, Jacques T, Norman S, Bishop G, Simmons G. Duration of life-threatening antecedents prior to intensive care admission. Intensive Care Med 2002; 28: 1629-34.
  • 20. Albert BL, Huesman L. Development of a modified early warning score using the electronic medical record. Dimens Crit Care Nurs 2011; 30: 283-92.
  • 21. Schein R, Hazday N, Pena M, Ruben B, Sprong C. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest 1990; 98: 1388-92.
  • 22. Hollis R, Graham L, Lazenby J, Brown D, Taylor B, Heslin M, Rue L, Hawn M. A role for the early warning score in early identification of critical postoperative complications. Ann Surg 2016; 263: 918-923.
  • 23. Edelson DP. A weak link in the rapid response system. Arch Intern Med 2010; 170: 12-13.
  • 24. Shaw J, Fothergill R, Clark S, Moore F. Can the prehospital national early warning score identify patients most at risk from subsequent deterioration? BMJ Emerg Med J 2017; 0: 1–5.
  • 25. Jarvis S, Kovacs C, Briggs J, et al. Aggregate national early warning score (news) values are more important than high scores for a single vital signs parameter for discriminating the risk of adverse outcomes. Resuscitation 2015; 87: 75-80.
  • 26. Ofoma U, Basnet S, Berger A, Kirchner L, Girotra S. Trends in survival after in-hospital cardiac arrest during nights and weekends. Journal Of The American College Of Cardiology 2018; 71: 402-11.
  • 27. Morgan RJM, Williams F, Wright MM. An early warning scoring system for detecting developing critical illness. Clinical Intensive Care 1997; 8: 100-14.
  • 28. Stenhouse C, Coates S, Tivey M, Allsop P, Parker T. Prospective evaluation of a modified early warning score to aid earlier detection of patients developing critical illness on a general surgical ward. Br J Anaesth 2000; 84: 663P.
  • 29. Nishijima I, Oyadomari S, Maedomari S, et al. Use of a modified early warning score system to reduce the rate of in-hospital cardiac arrest. Journal of Intensive Care 2016; 4: 1-6.
  • 30. The Royal College of Physicians. National early warning score (news) 2: Standardising the assessment of acute-illness severity in the NHS. London: RCP; 2012.
  • 31. Monaghan A. Detecting and managing deterioration in children. Paediatric Nursing 2005;17: 32-5.
  • 32. Joint Commission International (JCI) accreditation standards for hospital including standards for academic medical center hospitals, 5th Edition. Department of Publications Joint Commission Resources. 2014.
  • 33. Moon A, Cosgrove JF, Lea D, Fairs A, Cressey DM. An eight year audit before and after the introduction of modified early warning score (mews) charts, of patients admitted to a tertiary referral intensive care unit after cpr. Resuscitation 2011; 82: 150-4.
  • 34. Parshuram CS, Dryden-PalmeR K, Farrel C, et al. Effect of a pediatric earlywarning system on all-cause mortality in hospitalized pediatric patients the EPOCH randomized clinical trial. JAMA 2018; 319: 1002-12.
  • 35. Chen L, Nallamothu B, Spertus J, Li Y, Chan P. Association between a hospital’s rate of cardiac arrest incidence and cardiac arrest survival. JAMA Intern Med 2013; 173: 1186-94.
  • 36. Halpern N. Early warning systems for hospitalized pediatric patients. JAMA 2018; 319: 981-2.
  • 37. Leuvan CV, Mitchell IA. Missed opportunities? An observational study of vital sign measurements. Critical Care and Resuscitation 2008; 10: 111-5.
  • 38. Hogan J. Why don’t nurses monitor the respiratory rates of patients? Br J Nurs 2006; 15: 489-92.
  • 39. Bellomo R. Are medical emergency teams picking up enough patients with increased respiratory rate? Crit Care Med 2004; 32: 1983-5.
  • 40. McQuillan P, Pilkington S, Allan A, et al. Confidential inquiry into quality of care before admission to intensive care. BMJ 1998; 316: 1853-8.
  • 41. Hillman KM, Bristow PJ, Chey T, et al. Antecedents to hospital deaths. Internal Medicine 2001; 31: 343-8.
  • 42. Kause J, Smith G, Prytherch D, Parr M, Flabouris A, Hillmane K. A comparison of antecedents to cardiac arrests, deaths and emergency intensive care admissions in Australia and New Zealand, and the United Kingdom-the ACADEMIA Study. Resuscitation 2004; 62: 275-82.
  • 43. Green AL, Williams A. An evaluation of an early warning clinical marker referral tool. Intensive and Critical Care Nursing 2006; 22- 274-82.
  • 44. Zografakis Sfakianakis MZ, De Bree E, Linardakis M, Askitopoulou H, Papaioannou A, Aggouridakis P. The value of the modified early warning score for unplanned ıntensive care unit admissions of patients treated ın hospital general wards. International Journal of Nursing Practice 2018; 24: e12632.
  • 45. Mathukia C, Fan W, Vadyak K, Biege C, Krishnamurthy M. Modified early warning system improves patient safety and clinical outcomes in an academic community hospital. Journal of Community Hospital Internal Medicine Perspectives 2015; 5: 26716.
  • 46. Johnson S, Nileswar A. Effectiveness of modified early warning score (mews) in the outcome of in-hospital adult cardiac arrests in a tertiary hospital. J Pulm Respir Med 2015; 5: 1-3.
  • 47. Smith B, Chiovaro J, O’Neil M, et al. Early warning system scores for clinical deteriorationin hospitalized patients: a systematic review. Annals ATS 2014; 11: 1454-65.
  • 48. DeVita MA, Braithwaite RS, Mahidhara R, Stuart S, Foraida M, Simmons RL. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care 2004; 13: 251-4.
  • 49. Akre M, Finkelstein M, Erickson M, Liu M, Vanderbilt L, Billman G. Sensitivity of the pediatric early warning score to identify patient deterioration. Pediatrics 2010; 125: e763-9.
  • 50. Murch P, Warren K. Developing the role of the critical care liaison nurse. Nurs Crit Care 2001; 5: 221-5.
  • 51. McNeill G, Bryden D. Do either early warning systems or emergency response teams improve hospital patient survival? A systematic review. Resuscitation 2013; 84: 1652-67.
  • 52. Winters BD, Weaver SJ, Pfoh E, Yang T, Pham JC, Dy SM. Rapid response systems as a patient safety strategy: a systematic review. Ann Intern Med 2013; 158: 417-25.
  • 53. Bonafide C, Localio R, Roberts K, Nadkarni V, Weirich C, Keren R. Impact of rapid response system implementation on critical deterioration events in children. JAMA Pediatr 2013; 168: 25-33.
  • 54. Chan PA, Khalid A, Longmore LS, Berg PA, Kosiborod M, Spertus JA. Hospital-wide code rates and mortality before and after ımplementation of a rapid response team. JAMA 2008; 300: 2506-13.
  • 55. Berwick DM, Hackbarth AD, McCannon CJ. IHI replies to “The 100,000 Lives Campaign: a scientific and policy review. Jointt Commission On Accreditastion of Helathcare Organizations. Journal on Quality and Patient Safety 2006; 32: 628-30.
  • 56. Alam N, Hobbelink EL, Van Tienhoven AJ, Van de Ven PM, Jansma EP, Nanayakkara PW The ımpact of the use of the early warning score (ews) on patient outcomes: a systematic review. Resuscitation 2014; 85: 587e594.
  • 57. Fox A, Elliott N. Early warning scores: a sign of deterioration in patients and systems. Nursing Management 2015; 22: 26-31.
  • 58. The University of York, Centre for Reviews and Dissemination (CRD). Impact of early warning systems on patient outcomes. Effectiveness Matters 2014: 1-4.
There are 58 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Yasemin Aslan 0000-0001-6292-2332

Şule Erişkin This is me 0000-0002-3559-107X

Publication Date September 22, 2019
Published in Issue Year 2019 Volume: 1 Issue: 4

Cite

APA Aslan, Y., & Erişkin, Ş. (2019). Model recommandations for how to prevent cardiac arrest in hospitals. Anadolu Güncel Tıp Dergisi, 1(4), 92-98. https://doi.org/10.38053/agtd.585431
AMA Aslan Y, Erişkin Ş. Model recommandations for how to prevent cardiac arrest in hospitals. Anatolian Curr Med J. September 2019;1(4):92-98. doi:10.38053/agtd.585431
Chicago Aslan, Yasemin, and Şule Erişkin. “Model Recommandations for How to Prevent Cardiac Arrest in Hospitals”. Anadolu Güncel Tıp Dergisi 1, no. 4 (September 2019): 92-98. https://doi.org/10.38053/agtd.585431.
EndNote Aslan Y, Erişkin Ş (September 1, 2019) Model recommandations for how to prevent cardiac arrest in hospitals. Anadolu Güncel Tıp Dergisi 1 4 92–98.
IEEE Y. Aslan and Ş. Erişkin, “Model recommandations for how to prevent cardiac arrest in hospitals”, Anatolian Curr Med J, vol. 1, no. 4, pp. 92–98, 2019, doi: 10.38053/agtd.585431.
ISNAD Aslan, Yasemin - Erişkin, Şule. “Model Recommandations for How to Prevent Cardiac Arrest in Hospitals”. Anadolu Güncel Tıp Dergisi 1/4 (September 2019), 92-98. https://doi.org/10.38053/agtd.585431.
JAMA Aslan Y, Erişkin Ş. Model recommandations for how to prevent cardiac arrest in hospitals. Anatolian Curr Med J. 2019;1:92–98.
MLA Aslan, Yasemin and Şule Erişkin. “Model Recommandations for How to Prevent Cardiac Arrest in Hospitals”. Anadolu Güncel Tıp Dergisi, vol. 1, no. 4, 2019, pp. 92-98, doi:10.38053/agtd.585431.
Vancouver Aslan Y, Erişkin Ş. Model recommandations for how to prevent cardiac arrest in hospitals. Anatolian Curr Med J. 2019;1(4):92-8.

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Assoc Prof Dr  Muhammed KIZILGÜL was qualified as an Associated Editor in ACMJ on 15/02/2020,

Assoc. Prof. Dr. Ercan YUVANÇ leaved, Assoc. Prof. Dr. Alpaslan TANOĞLU became the Editör in Chief in ACMJ on 13/05/2020.