原创力文档score to door time, a benchmarking tool for rapid response systems a pilot multi-centre service evaluation分数到门时间,基准测试工具快速反应系统试点进行的多中心服务评估.pdfVIP
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score to door time, a benchmarking tool for rapid response systems a pilot multi-centre service evaluation分数到门时间,基准测试工具快速反应系统试点进行的多中心服务评估
Oglesby et al. Critical Care 2011, 15:R180
/content/15/4/R180
RESEARCH Open Access
‘Score to Door Time’, a benchmarking tool for
rapid response systems: a pilot multi-centre
service evaluation
1* 2 3 4
Kieran J Oglesby , Lesley Durham , John Welch and Christian P Subbe
Abstract
Introduction: Rapid Response Systems were created to minimise delays in recognition and treatment of
deteriorating patients on general wards. Physiological ‘track and trigger’ systems are used to alert a team with
critical care skills to stabilise patients and expedite admission to intensive care units. No benchmarking tool exists
to facilitate comparison for quality assurance. This study was designed to create and test a tool to analyse the
efficiency of intensive care admission processes.
Methods: We conducted a pilot multicentre service evaluation of patients admitted to 17 intensive care units from
the United Kingdom, Ireland, Denmark, United States of America and Australia. Physiological abnormalities were
recorded via a standardised track and trigger score (VitalPAC™ Early Warning Score). The period between the time
of initial physiological abnormality (Score) and admission to intensive care (Door) was recorded as ‘Score to Door
Time’. Participants subsequently suggested causes for admission delays.
Results: Score to Door Time for 177 admissions was a median of 4:10 hours (interquartile range (IQR) 1:49 to 9:10).
Time from physiological trigger to activation of a Rapid Response System was a median 0:47 hours (IQR 0:00 to
2:15). Time from call-out to intensive care admission was a median of 2:45 hours (IQR 1:19 to 6:32). A total of 127
(71%) admissions were deemed to have been delayed. Stepwise linear regression analysis yielded t
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