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Medizinische Notfallteams im Krankenhaus

Mit der optimalen Struktur die Versorgungskette schließen

Zeitschrift:: ProCare > Ausgabe 8/2014

Autoren:: Stefan Lenkeit, Klaus Ringelstein, Dr. Ingo Gräff, Dr. Jens-Christian Schewe

Das innerklinische Notfallmanagement als Bestandteil des Risiko- und Qualitätsmanagements in Krankenhäusern unterliegt stetig steigenden Anforderungen. Dies liegt einerseits an der generellen demographischen Entwicklung mit ansteigendem Patientenalter, andererseits an der zunehmenden Spezialisierung und Erweiterung des medizinischen Spektrums sowie der Durchführung komplexer operativer, diagnostischer und therapeutischer Interventionen auch bei Risikopatienten mit entsprechenden Komorbiditäten. Im Vergleich zur gut strukturierten und mit hohem Organisationsgrad etablierten außerklinischen Notfallversorgung durch den Notarzt- und Rettungsdienst als öffentliche Aufgabe, fehlt in Deutschland noch ein allgemein anerkanntes vergleichbares und standardisiertes Konzept zur innerklinischen Notfallversorgung. ...

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Franklin C, Mathew J (1994) Developing strategies to prevent inhospital cardiac arrest: analyzing responses of physicians and nurses in the hours before the event. Crit Care Med 22:244–247 PubMedCrossRef

Sandroni C et al (2007) Inhospital cardiac arrest: incidence, prognosis and possible measures to improve survival. Intensive Care Med 33:237–245 PubMedCrossRef

Ehlenbach WJ et al (2009) Epidemiologic study of inhospital cardiopulmonary resuscitation in the elderly. N Engl J Med 361:22–31 PubMedCrossRefPubMedCentral

Sandroni C et al (2004) Inhospital cardiac arrest: survival depends mainly on the effectiveness of the emergency response. Resuscitation 62:291–297 PubMedCrossRef

Carr BG et al (2009) A national analysis of the relationship between hospital factors and postcardiac arrest mortality. Intensive Care Med 35:505–511 PubMedCrossRef

Kayser RG et al (2008) Cardiac arrest in the emergency department: a report from the National Registry of Cardiopulmonary Resuscitation. Resuscitation 78:151–160 PubMedCrossRef

Baker GR et al (2004) The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ 170:1678–1686 PubMedCrossRefPubMedCentral

Smith AF, Wood J (1998) Can some inhospital cardiorespiratory arrests be prevented? A prospective survey. Resuscitation 37:133–137 PubMedCrossRef

Hillman KM et al (2002) Duration of lifethreatening antecedents prior to intensive care admission. Intensive Care Med 28:1629–1634 PubMedCrossRef

10.

Schein RM et al (1990) Clinical antecedents to inhospital cardiopulmonary arrest. Chest 98:1388–1392 PubMedCrossRef

11.

Kause J et al (2004) 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 62:275–282 PubMedCrossRef

12.

Goldhill DR, McNarry AF (2004) Physiological abnormalities in early warning scores are related to mortality in adult inpatients. Br J Anaesth 92:882–884 PubMedCrossRef

13.

Featherstone P et al (2005) Impact of a oneday interprofessional course (ALERT) on attitudes and confidence in managing critically ill adult patients. Resuscitation 65:329–336 PubMedCrossRef

14.

Hodgetts TJ et al (2002) Incidence, location and reasons for avoidable inhospital cardiac arrest in a district general hospital. Resuscitation 54:115–123 PubMedCrossRef

15.

McQuillan P et al (1998) Confidential inquiry into quality of care before admission to intensive care. BMJ 316:1853–1858 PubMedCrossRefPubMedCentral

16.

Pearse RM et al (2012) Mortality after surgery in Europe: a 7 day cohort study. Lancet 380:1059–1065 PubMedCrossRefPubMedCentral

17.

Brennan TA et al (1990) Identification of adverse events occurring during hospitalization. A crosssectional study of litigation, quality assurance, and medical records at two teaching hospitals. Ann Intern Med 112:221–226 PubMedCrossRef

18.

Winters BD, Pham J, Pronovost PJ (2006) Rapid response teams — walk, don’t run. JAMA 296:1645–1647 PubMedCrossRef

19.

Litvak E, Pronovost PJ (2010) Rethinking rapid response teams. JAMA 304:1375–1376 PubMedCrossRef

20.

Bellomo R et al (2003) A prospective beforeandafter trial of a medical emergency team. Med J Aust 179:283–287 PubMed

21.

Bellomo R et al (2004) Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates. Crit Care Med 32:916–921 PubMedCrossRef

22.

Buist MD et al (2002) Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ 324:387–390 PubMedCrossRefPubMedCentral

23.

Foraida MI et al (2003) Improving the utilization of medical crisis teams (Condition C) at an urban tertiary care hospital. J Crit Care 18:87–94 PubMedCrossRef

24.

Jones D et al (2005) Long term effect of a medical emergency team on cardiac arrests in a teaching hospital. Crit Care 9:R808–R815 PubMedCrossRefPubMedCentral

25.

Buist M et al (2007) Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ 335:1210–1212 PubMedCrossRefPubMedCentral

26.

Brilli RJ et al (2007) Implementation of a medical emergency team in a large pediatric teaching hospital prevents respiratory and cardiopulmonary arrests outside the intensive care unit. Pediatr Crit Care Med 8:236–246 (quiz 247) PubMedCrossRef

27.

Bristow PJ et al (2000) Rates of inhospital arrests, deaths and intensive care admissions: the effect of a medical emergency team. Med J Aust 173:236–240 PubMed

28.

Chan PS et al (2008) Hospitalwide code rates and mortality before and after implementation of a rapid response team. JAMA 300:2506–2513 PubMedCrossRef

29.

Jones D et al (2007) Effect of the medical emergency team on longterm mortality following major surgery. Crit Care 11:R12–R12 PubMedCrossRefPubMedCentral

30.

Zenker P et al (2007) Implementation and impact of a rapid response team in a children’s hospital. Jt Comm J Qual Patient Saf 33:418–425 PubMed

31.

Chan PS et al (2010) Rapid response teams: a systematic review and metaanalysis. Arch Intern Med 170:18–26 PubMedCrossRef

32.

Cummins RO et al (1991) Improving survival from sudden cardiac arrest: the „chain of survival“ concept. A statement for health professionals from the Advanced Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation 83:1832–1847 PubMedCrossRef

33.

Nolan JP et al (2005) European Resuscitation Council guidelines for resuscitation 2005. Section 4. Adult advanced life support. Resuscitation 67:S39–S86

34.

Deakin CD et al (2010) European Resuscitation Council guidelines for resuscitation 2010 Section 4. Adult advanced life support. Resuscitation 81:1305–1352

35.

Smith GB (2010) Inhospital cardiac arrest: is it time for an inhospital ‚chain of prevention’? Resuscitation 81:1209–1211 PubMedCrossRef

36.

Campello G et al (2009) Immediate and longterm impact of medical emergency teams on cardiac arrest prevalence and mortality: a plea for periodic basic lifesupport training programs. Crit Care Med 37:3054–3061 PubMedCrossRef

37.

Smith GB, Osgood VM, Crane S (2002) ALERT — a multiprofessional training course in the care of the acutely ill adult patient. Resuscitation 52:281–286 PubMedCrossRef

38.

Soar J et al (2010) European Resuscitation Council guidelines for resuscitation 2010 Section 9. Principles of education in resuscitation. Resuscitation 81:1434–1444 PubMedCrossRef

39.

Chatterjee MT et al (2005) The „OBS“ chart: an evidence based approach to redesign of the patient observation chart in a district general hospital setting. Postgrad Med J 81:663–666 PubMedCrossRefPubMedCentral

40.

Chen J et al (2009) The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation 80:35–43 PubMedCrossRef

41.

Rivers E et al (2001) Early goaldirected therapy in the treatment of severe sepsis and septic shock. N Engl J Med 345:1368–1377 PubMedCrossRef

42.

Jones DA, DeVita MA, Bellomo R (2011) Rapidresponse teams. N Engl J Med 365: 139–146 PubMedCrossRef

Titel: Medizinische Notfallteams im Krankenhaus
Mit der optimalen Struktur die Versorgungskette schließen
Autoren:: Stefan Lenkeit
Klaus Ringelstein
Dr. Ingo Gräff
Dr. Jens-Christian Schewe
Publikationsdatum: 01.10.2014
DOI: https://doi.org/10.1007/s00735-014-0393-2
Verlag: Springer-Verlag
Zeitschrift: ProCare Aktuelle Information, Fort- und Weiterbildung für die MItarbeiter der Gesundheits- und Krankenpflege
Ausgabe 8/2014
Print ISSN: 0949-7323
Elektronische ISSN: 1613-7574

Springer Medizin Österreich

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