Medical Emergency Teams: Implementation and Outcome Measurement / Edition 1

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Written by the world's leading innovators in the development of medical emergency teams, this book provides the necessary framework for healthcare professionals and administrators who want to incorporate this concept into their own patient safety and quality improvement programs. Topics covered include controversies and challenges in patient safety, description of various MET models, guidelines for implementing a successful program, and instruction on how to measure outcomes.

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Editorial Reviews

Doody's Review Service
Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is an overview of Medical Emergency Teams, a resuscitation unit targeted not at critical patients coming from outside the hospital but those who decompensate within. Medical Emergency Teams, known by a variety of descriptors, represent the latest tool in the international patient safety movement.
Purpose: A manual is provided for those who might implement an in-hospital emergency response team.
Audience: Administrators, trainees, and senior clinicians are an appropriate audience for this work edited by leaders in critical care on three continents with contributors from Western Europe, North America, and Australia.
Features: The first seven of the book's 25 chapters describe the rationale for the use of emergency response teams or medical emergency teams to improve in-hospital safety. The largest section, 11 chapters in all, describes various medical emergency team configurations, response protocols and equipment required for such a program. Configurations for teams are described that are suitable for large academic centers and community hospitals where physician availability is limited. Six concluding chapters describe a variety of systems for measuring effectiveness of team process. Chapters are clearly written with major subheadings divided by texture of type. Tables and figures display supportive data and treatment algorithms. Reference lists are brief, sometimes less than 10 original citations. References date to within one year prior to publication. Diagrams and illustrations reproduce well. The table of contents lists chapter title and authorship while a subject index of seven pages provides adequate access to content.
Assessment: This is the first overview of a key part of our growing patient safety culture developed as a hybrid of critical care and emergency medicine. The experts writing here provide initial data to suggest that an in-hospital emergency response program is effective with a succinct description of methods.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780387279206
  • Publisher: Springer New York
  • Publication date: 12/8/2005
  • Edition description: 2006
  • Edition number: 1
  • Pages: 296
  • Product dimensions: 6.14 (w) x 9.21 (h) x 0.67 (d)

Table of Contents

Hospital patient safety.- Patient safety: top-down or bottom-up?.- Why the current system fails.- Quality of critical care before ICU admission.- Changing nature of modern hospitals.- Acute medicine as a specialty.- Potential impact of trainees on outcome.- Matching level of illness with level of care.- The MET system: what is a MET?.- MET-type systems.- Critical care outreach teams.- Designing patient safety into graduate medical education.- Hospital size & location and MET feasibility.- METs as a QI tool: finding and correcting errors that matter.- Nursing perspectives.- General principles of implementing METs.- Organizational issues.- Equipment.- Personnel.- Overcoming political hurdles.- Obtaining financial support.- METs in teaching hospitals.- Teaching organized crisis teams using human simulators.- Pediatric METs.- Principles of evaluating systems.- Outcome and process measurements/metrics.- Return on investment: are METs worth the cost?

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