Journal of the Formosan Medical Association
Volume 107, Issue 5 , Pages 396-403 , May 2008

Incidence and Significance of Clinically Abnormal Events in a Tertiary Referral Medical Center: Implementation of the Clinical Alert System (CAS)

  • Jih-Shuin Jerng

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Wen-Je Ko

      Affiliations

    • Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Frank Leigh Lu

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Yih-Sharng Chen

      Affiliations

    • Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Szu-Fen Huang

      Affiliations

    • Department of Nursing, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Chong-Jen Yu

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Ming-Jiuh Wang

      Affiliations

    • Department of Anesthesiology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Ming-Jiuh Wang, Department of Anesthesiology, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan
    • ,
  • Fang-Yue Lin

      Affiliations

    • Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

Received 26 December 2007 ,Accepted 15 January 2008.

References 

  1. Peberdy MA , Kaye W , Ornato JP , et al.   Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation . Resuscitation . 2003;58:297–308
  2. Huang CH , Chen WJ , Ma MH , et al.   Factors influencing the outcomes after in-hospital resuscitation in Taiwan . Resuscitation . 2002;53:265–270
  3. Jacobs I , Nadkarni V , Bahr J , et al.   Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the international liaison committee on resuscitation . Resuscitation . 2004;63:233–249
  4. Hillman K , Parr M , Flabouris A , et al.   Redefining in-hospital resuscitation: the concept of the medical emergency team . Resuscitation . 2001;48:105–110
  5. Schein RM , Hazday N , Pena M , et al.   Clinical antecedents to in-hospital cardiopulmonary arrest . Chest . 1990;98:1388–1392
  6. Galhotra S , DeVita MA , Simmons RL , et al.   Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital . Qual Saf Health Care . 2007;16:260–265
  7. Hodgetts TJ , Kenward G , Vlachonikolis IG , et al.   The identification of risk factors for cardiac arrest and formulation of activation criteria to alert a medical emergency team . Resuscitation . 2002;54:125–131
  8. Devita MA , Bellomo R , Hillman K , et al.   Findings of the first consensus conference on medical emergency teams . Crit Care Med . 2006;34:2463–2478
  9. Berwick DM , Calkins DR , McCannon CJ , et al.   The 100,000 lives campaign: setting a goal and a deadline for improving health care quality . JAMA . 2006;295:324–327
  10. Buist MD , Moore GE , Bernard SA , et al.   Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study . BMJ . 2002;324:387–390
  11. Bell MB , Konrad D , Granath F , et al.   Prevalence and sensitivity of MET-criteria in a Scandinavian University Hospital . Resuscitation . 2006;70:66–73
  12. Hillman K , Chen J , Cretikos M , et al.   Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial . Lancet . 2005;365:2091–2097
  13. Cretikos M , Parr M , Hillman K , et al.   Guidelines for the uniform reporting of data for Medical Emergency Teams . Resuscitation . 2006;68:11–25
  14. Nurmi J , Harjola VP , Nolan J , et al.   Observations and warning signs prior to cardiac arrest. Should a medical emergency team intervene earlier? . Acta Anaesthesiol Scand . 2005;49:702–706
  15. Chou CH , Jerng JS , Shih CL , et al.   Clinical antecedents to cardiopulmonary resuscitation in the medical intensive care unit: a retrospective study . Thoracic Medicine . 2006;21:239–246
  16. Buist M , Bernard S , Nguyen TV , et al.   Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective study . Resuscitation . 2004;62:137–141
  17. Gao H , McDonnell A , Harrison DA , et al.   Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward . Intensive Care Med . 2007;33:667–669
  18. Tarassenko L , Hann A , Young D . Integrated monitoring and analysis for early warning of patient deterioration . Br J Anaesth . 2006;97:64–68

PII: S0929-6646(08)60105-9

doi: 10.1016/S0929-6646(08)60105-9

Journal of the Formosan Medical Association
Volume 107, Issue 5 , Pages 396-403 , May 2008

Article Tools