Browsing by Author "Fikkers, B.G."

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Incidence of cardiac arrests and unexpected deaths in surgical patients before and after implementation of a rapid response system
Schoonhoven, Lisette ; Hoeven, Hans van der ; Simmes, Friede ; Fikkers, B.G. ; Mintjes, Joke
2012, Article / Letter to editor (Annals of Intensive Care, vol. 2, iss. 1, (2012))Rapid response systems (RRSs) are considered an important tool for improving patient safety. We studied the effect of an RRS on the incidence of cardiac arrests and unexpected deaths. Retrospective before- after study in a university medical centre. We included 1376 surgical patients before (period 1) and 2410 patients after introduction of the RRS (period 2). Outcome measures were corrected for the baseline covariates age, gender and ASA.
Why is it so difficult to prove that rapid response systems improve patient outcome? : Directions for further research
Hoeven, Hans van der ; Fikkers, B.G. ; Schoonhoven, Lisette ; Mintjes, Joke ; Simmes, Friede
2012, Article / Letter to editor (Netherlands Journal of Critical Care, vol. 16, iss. 6, (2012), pp. 195-199)The implementation of rapid response systems (RRS) is based on the knowledge that deteriorating physiological processes are frequently present for hours or days before clear clinical deterioration is recognized [1,2]. It is assumed that this physiological deterioration is often treatable and that treatment will have greater effect when initiated early [3]. The RRS consists of an afferent limb, including “crisis detection” and “response triggering” and an efferent limb, the rapid response team (RRT) [4]. Even though robust evidence to support the effectiveness of the RRS is lacking [5-10] the system has been implemented worldwide. For example, Dutch hospitals are required to implement a patient safety programme including an RRS before 2013 [11]. This article explores the reasons why it is so difficult to prove the effectiveness of an RRS. We discuss the study designs that have been used and the various outcome measures in order to estimate the effects of an RRS. Finally, we make suggestions for future research.

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Browsing by Author "Fikkers, B.G."

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