Rapid Response Team Utilisation <24 Hours Post Emergency Admissions

By Ash Abeysekera

Presented by: Bronwyn Griffin

Princess Alexandra Hospital, UQ School of Medicine

Background

National Emergency Access Target (NEAT)

Do time improvements = quality improvements?

Background

What else……..?

Rapid Response Team (RRT)

Including Cardiac Arrest (CA)

Project Aims1. Compare ED LOS for

a. Patients requiring emergency activation

With

b. Patients admitted through the ED that did not

have an event

2. Describe Characteristics and outcomes of emergency activation

Methods

• Design: retrospective observational cohort study• Setting: PAH• Timeframe: June 1st – Nov 30th 2014• Databases 1. RRT and CA database (combined and separate) 2. EDIS3. HBCIS• Ethics

Results…

% of RRT activations within 24 hours of ED admission

Average ED LOS (minutes +/- 1SD)

393 433 439 233

NEAT compliance (%)All P=>0.05

Average Age (years +/- 1SD)

59 65 65 62

Results: Characteristics & Outcomes

SBP<90

33.93%

GCS22.02% SpO2<90

18.45%

Gender distribution (n%) P= 0.217

Results: After hours ED presentationP>0.05

Results: Triage categoryP=0.002

Results: Diagnosis

• Admission diagnosis on EDIS– I-J ICD 10 codes are cardio-respiratory diagnoses– 61 patients (19.14%) from early RRT/CAT from ED

admission group– 2994 patients (31.9%) from no RRT/CAT group– No significant differences in • Age• Gender• After hours presentation • ED LOS

Results: Mortality

Conclusion

• 1.79% of ED admissions have early RRT/CAT• ED LOS was longer in the RRT patient group• No evidence to suggest NEAT increases rate of

RRT

THANK YOU!

A big thank you to Ash

Dr Andrew StaibDr Rob Eley

Mr David MoorePA Clinical informatics

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Results: Characteristics & Outcomes