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Tytuł pozycji:

Improving medical emergency system: Results of a multi-professional questionnaire.

Tytuł :
Improving medical emergency system: Results of a multi-professional questionnaire.
Autorzy :
Monteiro S; Medicina Interna, Departamento de Medicina, Hospital Pedro Hispano, Unidad Local de Salud Matosinhos, Matosinhos, Portugal. Electronic address: .
Camões J; Medicina Intensiva, Departamento de Urgencias y Medicina Intensiva, Hospital Pedro Hispano, Unidad Local de Salud Matosinhos , Matosinhos, Portugal.
Carvalho D; Medicina Intensiva, Departamento de Urgencias y Medicina Intensiva, Hospital Pedro Hispano, Unidad Local de Salud Matosinhos , Matosinhos, Portugal.
Araújo R; Medicina Intensiva, Departamento de Urgencias y Medicina Intensiva, Hospital Pedro Hispano, Unidad Local de Salud Matosinhos , Matosinhos, Portugal.
Gomes E; Medicina Intensiva, Departamento de Urgencias y Medicina Intensiva, Hospital Pedro Hispano, Unidad Local de Salud Matosinhos , Matosinhos, Portugal.
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Transliterated Title :
Mejora del sistema de urgencias médicas: resultados de un cuestionario multi-profesional.
Źródło :
Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim (Engl Ed)] 2020 Jun - Jul; Vol. 67 (6), pp. 301-315. Date of Electronic Publication: 2020 May 21.
Typ publikacji :
Journal Article
Język :
English; Spanish; Castilian
Imprint Name(s) :
Original Publication: Barcelona : Elsevier España, 2015-
MeSH Terms :
Attitude of Health Personnel*
Quality Improvement*
Emergency Service, Hospital/*standards
Adult ; Female ; Health Care Surveys ; Humans ; Male ; Middle Aged
Contributed Indexing :
Keywords: Basic Life Support; Critically ill patient; Equipo de emergencia médica; Equipo de respuesta rápida; Medical Emergency System; Medical Emergency Team; Paciente crítico; Rapid Response Team; Sistema de emergencia médica; Soporte vital básico
Entry Date(s) :
Date Created: 20200526 Date Completed: 20210707 Latest Revision: 20210707
Update Code :
20210914
DOI :
10.1016/j.redar.2020.01.017
PMID :
32448739
Czasopismo naukowe
Objective: This study aimed to identify ways to improve the Medical Emergency System (MES) in its different components and infer Medical Emergency Team (MET) activation failure causes.
Methods: A questionnaire regarding opinions and attitudes towards the MES was conducted, targeting all professionals at the hospital, which has an implemented MES with Basic Life Support (BLS) since 1998.
Results: Thirty two percent (n=585) of hospital professionals answered, from these 37.8% were neither doctors nor nurses. In mean six years passed since the BLS certification, yet 102 professionals (17.4%) had not done it. A relevant percentage admitted to not being familiarized with the different components of the MES (activation criteria 16.4%, telephone number 4.1%, content of the resuscitation trolleys 42.4% and defibrillator-monitor 47.4%), percentages lessened among those had taken the BLS course. The majority highly valued MET, however 83 (23%) could not confirm that debriefingand 17 (4.4%) that allocation of tasks happened after and during activation, respectively. When activating MET 52 (18.1%) admitted fear of criticism and 38 (13.3%) agreed that they needed validation by another professional, factors not influenced by BLS course completion. Excessive workload as a barrier to recognize ill patients was pointed by 127 (45.7%) of the respondents.
Conclusion: Despite educational and auditing efforts, the MES is not fully integrated into hospital culture. BLS certification for all professionals and non-technical skills of MET were identified has major areas for MES improvement. Unfamiliarity with activation criteria, fear of criticism and excessive workload were identified as failure of activation causes.
(Copyright © 2020 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.)

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