癌症中心的快速反应小组(RRT)系统:系统组织和临床 RRT 途径的创新方法。

IF 1 Q4 CRITICAL CARE MEDICINE
Tara Buchholz, Melissa Barzola, Yekaterina Tayban, Neil A Halpern
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引用次数: 1

摘要

2009 年至 2021 年期间,纪念斯隆-凯特琳癌症中心的快速反应小组(RRT)系统在重症医学(CCM)高级医师(APP)的领导下急剧扩大。CCM-APP 接受过重症患者护理以及快速反应呼叫监督方面的培训。RRT 由以 CCM 为基础的 RRT-APP、呼吸治疗师、RRT-RN 和护理主管组成。自计划启动以来,已制定并调整了 11 个 RRT 路径和干预措施,以改善多学科患者管理。路径的复杂程度各不相同,需要多学科协作。在某些情况下,RRT 患者可能需要转院到外部机构,接受本院肿瘤机构无法提供的服务。通过 RRT 网站仪表板的在线报告,对整个医院的 RRT 数据进行跟踪。2021 年的 RRT 数据包括脓毒症电子警报、行为 RRT 和中风警报。通过强有力的质量保证对 RRT 计划进行监控。通过建立 RRT 途径,APP 领导的 RRT 系统的护理范围不断扩大,以满足患者日益复杂的医疗需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Rapid Response Team (RRT) System at a Cancer Center: Innovative Approaches to System Organization and Clinical RRT Pathways.

The Rapid Response Team (RRT) system at Memorial Sloan Kettering Cancer Center led by critical care medicine (CCM) advanced practice providers (APPs) expanded exponentially between 2009 and 2021. CCM-APPs are trained for care of critically ill patients as well as to oversee rapid response calls. The RRT is composed of a CCM-based RRT-APP, respiratory therapist, RRT-RN, and nursing supervisor. Since program inception, 11 RRT pathways and interventions have been developed and adjusted to improve multidisciplinary patient management. Pathways vary in complexity and require multidisciplinary collaboration. In some circumstances, the RRT patient may require transfer to outside facilities for services not provided at our oncology-based facility. RRT data are tracked across the hospital continuum with on-line reporting through RRT website dashboards. 2021 RRT data on electronic sepsis alerts, behavioral RRT and stroke alerts are presented. The RRT program is monitored through robust quality assurance. The APP-led RRT system's scope of care has been continuously expanded through the creation of RRT pathways to meet the increasingly complex medical needs of our patients.

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来源期刊
Critical Care Nursing Quarterly
Critical Care Nursing Quarterly CRITICAL CARE MEDICINE-
CiteScore
2.60
自引率
0.00%
发文量
76
期刊介绍: Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that provides current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.
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