Impact of the Proactive Rounding Team on Rapid Response System During COVID-19 Pandemic: A Retrospective Study From an Italian Medical Center

During the coronavirus disease 2019 (COVID-19) pandemic a proactive rounding (PR) team was introduced in our clinical practice in order to recognize the clinical deterioration of the patient as soon as possible. This study aimed to evaluate the impact of the PR team on the rapid response system (RRS...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-04, Vol.14 (4), p.e24432-e24432
Main Authors: Roasio, Agostino, Costanzo, Eleonora, Bergesio, Giorgio, Bosso, Stefano, Longu, Sandro, Zapparoli, Franca, Bertocchini, Stefano, Forno, Germana, Fogliati, Alessandro, Novelli, Maria Teresa
Format: Article
Language:English
Subjects:
Cardiac arrest
Clinical deterioration
Codes
Consciousness
Coronaviruses
COVID-19
Critical care
Emergencies
Emergency Medicine
Heart attacks
Hospitalization
Hospitals
Mortality
Pandemics
Patients
Scandals
Severe acute respiratory syndrome coronavirus 2
Workloads
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Summary:During the coronavirus disease 2019 (COVID-19) pandemic a proactive rounding (PR) team was introduced in our clinical practice in order to recognize the clinical deterioration of the patient as soon as possible. This study aimed to evaluate the impact of the PR team on the rapid response system (RRS) workload with particular regard to the activity carried out, the mode of intervention, and the outcome of patients. In this retrospective study, the first period before the activation of the PR team (March 1, 2019, to February 29, 2020) and the second period after its activation (March 1, 2020, to March 1, 2021) were compared. A total of 406 inpatient RRS activations were collected. The medical emergency team (MET) dose was 13 and 12.2 activations/1000 admitted patients per year while the incidence of unexpected cardiac arrests was 3.8 and 2.6 events/1000 admitted patients per year (p=0.10). MET response time was longer in the second period (3.5±1.6 minutes vs 4.5±2.6 minutes p
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.24432