Implementation of a Medical Emergency Team to Improve the Quality of the Acute Emergency Management System in the Accident Service of National Hospital, Sri Lanka: Impact on Staff Perception in in-Ward Emergency Care.

Abstract

This quality improvement research project aimed to improve the quality of the acute emergency management system of the ward settings in the accident and orthopedic department of the National Hospital Sri Lanka through the establishment of a medical emergency team. This is an interventional project to implement a medical emergency team to improve the in-ward emergency management system. Paired sample t-tests were used to determine whether the pre-post differences were statistically significant. The monitoring, guideline availability, communication, and training components and prompt response have been significantly improved. However, there were no significant improvement in infrastructure development. The overall total score increased from 32.36 ± 5.23 at the baseline to 38.36 ± 5.16 after the intervention, reflecting a general enhancement in nurses' perceptions of the emergency management system.