The Assessment of a Rapid Response System in Shizuoka Hospital, Juntendo University
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 6
Abstract
Abstract: Our hospital includes a total of 577 beds, two hundred fifteen physicians work in the hospital along with 705 nurses. On average, the hospital treats a total of 1,600 outpatients daily, and the inpatient facilities are almost fully occupied. A rapid response system (RRS) is activated by staff members in the inpatient and outpatient wards. There is only one other English report concerning the implementation of an RRS in Japan. We herein report the results of the implementation of an RRS in our hospital. The review of the RRS reports was retrospectively performed in all cases in which the activation of the RRS was required in our hospital between April 2017 and March 2018. There were 32 cases in which the activation of the RRS was required during the investigation period; all patients were defined as subjects. Twenty-one of the patients were male. Most cases involved patients of 70–90 years of age. Eleven of the cases involved inpatients. An extreme predominance was seen in daytime activations, particularly around noon. The cardiology department was predominant, followed by the cardiovascular, psychiatry, and gynecology departments. The reasons for RRS activation included consciousness disturbance (n=23), cardiac arrest (n=15), respiratory arrest (n=9), and convulsion (n=4) in total. Final mortality rate was 28%. Male sex, advanced age, cardiogenic disease and daytime were risk factors for the activation of the RRS in the present study.
Authors and Affiliations
Yoko Nozawa, Toshihiro Katsumata, Shinya Tada, Masato Matsuo, Youichi Yanagawa
Keywords
Related Articles
- EP ID EP475598
- DOI -
- Views 26
- Downloads 0
Evaluation and Management of Splenic Injury in Blunt Trauma Abdomen
The spleen is an important organ in the body’s immune system. It is the most frequently injured organ in blunt abdominal trauma. Over the past several decades, diagnosis and management of splenic trauma has been evolved....
Epidemiology of stress fractures among athletes involved in various sports
Stress fracture is partial or complete fractures of bone that result from the repeated application of a stress less than that required to fracture a bone in a single loading situation. Stress fractures comprise between 0...
Evaluation of Morbidity and Mortality Associated with Atrial Fibrillation
Although we have known for almost 100 years, atrial fibrillation is the most common of serious cardiac rhythm disturbances, which is responsible for substantial morbidity and mortality in the general population. The stud...
To Study Serum Triiodothyronine (T3), Thyroxine (T4), Thyroid Stimulating Hormone (TSH) Levels in Children with Grade III and Grade IV Protein Energy Malnutrition (Cases) And in Children with Grade I and Grade II Protein Energy Malnutrition (Controls)
Abstract: The main objective of the study was estimation of serum T3, T4 and TSH levels in severely malnourished children admitted in nutrition rehabilitation centre of Teritary level care hospital, and find out any co-r...
Seroprevalence of Hepatitis-B and Hepatitis-C Infection among HIV Positive and HIV Negative Individuals in a Tertiary Care Hospital
Human immunodeficiency virus (HIV), Hepatitis B virus (HBV), and Hepatitis C virus (HCV) are major public health concerns. HIV positive individuals are at increased risk of coinfection with HBV and HCV infections due to...