Abstract
The MET system has great potential to reduce adverse patient outcome through improving the early recognition and appropriate response to critical illness in teaching hospitals. Fundamental to its effectiveness is that it is a system change that allows any attending health care provider to trigger the rapid mobilization of appropriately skilled personnel. Its success depends upon appropriate implementation, which must involve consultation with all the stakeholders, widespread education of hospital staff, and enthusiastic MET providers. The MET is not incompatible with a teaching environment, and in our experience, it seems to augment the educational value of providing in-hospital care.
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References
Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. 1991. Qual Saf Health Care. 2004;13:145–151; discussion 151–142.
Wilson RM, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust. 1995;163:458–471.
Schein RM, Hazday N, Pena M, et al. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990;98:1388–1392.
Franklin C, Mathew J. Developing strategies to prevent in-hospital cardiac arrest: analyzing responses of physicians and nurses in the hours before the event. Crit Care Med. 1994;22:244–247.
Buist MD, Jarmolowski E, Burton PR, et al. Recognising clinical instability in hospital patients before cardiac arrest or unplanned admission to intensive care. A pilot study in a tertiary-care hospital. Med J Aust. 1999;171:22–25.
Hillman KM, Bristow PJ, Chey T, et al. Antecedents to hospital deaths. Intern Med J. 2001;31:343–348.
McQuillan P, Pilkington S, Allan A, et al. Confidential inquiry into quality of care before admission to intensive care. BMJ. 1998;316:1853–1858.
Leape LL. Error in medicine. JAMA. 1994;272:1851–1857.
Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280:1311–1316.
Bristow PJ, Hillman KM, Chey T, et al. Rates of in-hospital arrests, deaths and intensive care admissions: the effect of a medical emergency team. Med J Aust. 2000;173:236–240.
Lee A, Bishop G, Hillman KM, et al. The Medical Emergency Team. Anaesth Intensive Care. 1995;23:183–186.
Buist MD, Moore GE, Bernard SA, et al. Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ. 2002;324:387–390.
Cretikos M, Hillman K. The medical emergency team: does it really make a difference? Intern Med J. 2003;33:511–514.
Bellomo R, Goldsmith D, Uchino S, et al. A prospective before-and-after trial of a medical emergency team. Med J Aust. 2003;179:283–287.
Bellomo R, Goldsmith D, Uchino S, et al. Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates. Crit Care Med. 2004;32:916–921.
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Opdam, H.I. (2006). Medical Emergency Teams in Teaching Hospitals. In: DeVita, M.A., Hillman, K., Bellomo, R. (eds) Medical Emergency Teams. Springer, New York, NY. https://doi.org/10.1007/0-387-27921-0_15
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DOI: https://doi.org/10.1007/0-387-27921-0_15
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