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Rapid response teams: A review of data collection practice in Victoria, Australia

Published:January 17, 2022DOI:https://doi.org/10.1016/j.aucc.2021.12.001

      Abstract

      Background

      Successful implementation of rapid response teams (RRTs) requires robust data collection and reporting processes. However, there is variation in data collection practice in RRT activity between hospitals, leading to difficulties in quality review, collaboration and research. Although a standardised RRT data collection model would be a key step in addressing this, there is uncertainty regarding existing RRT data collection practice across Victoria.

      Objectives

      This study was endorsed by Safer Care Victoria (SCV) to evaluate existing RRT data collection practice across Victoria.

      Methodology

      Between 2016 and 2017, hospitals in Victoria were surveyed on data collection practice for RRT activity. Data collected included the fields populated and the mode of data collection. Qualitative content analysis, utilising a blend of pre-existing frameworks and ground-up data-driven approaches for derivation of a coding frame, was used to identify common categories. Validation of the analysis and results was performed by consultation with stakeholder groups.

      Results

      Twenty five hospitals across 18 health networks contributed data, with a mix of tertiary (9/25), metropolitan (11/25) and rural (5/25) hospitals. Seven hospitals collected data electronically, the remainder using paper with abstraction to electronic spreadsheets. None of the hospitals linked with existing hospital data systems to reduce manual data entry requirements. Dataset size varied from 16 to 97 variables but demonstrated content consistency and could be mapped onto seven key categories (comprising antecedent, afferent, event, post-event, audit, context and patient data). Within each category, there was substantial variation in terminology and variable values, but consistency in the collection of a certain subset of variables.

      Conclusion

      Despite broad variation in data collection practice, existing datasets can be readily mapped into seven key categories, with the consistent collection of a subset of variables within each category. These variables could inform the development of a minimum dataset within a standardised RRT reporting framework and accommodate data submission from hospitals of differing resource bases.

      Keywords

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      References

      1. National Consensus Statement: Essential elements for recognising and responding to acute physiological deterioration (2nd ed.) | Australian Commission on Safety and Quality in Health Care [Internet]. [cited 2021 May 24]. Available from: https://www.safetyandquality.gov.au/publications-and-resources/resource-library/national-consensus-statement-essential-elements-recognising-and-responding-acute-physiological-deterioration-second-edition.

        • DeVita M.A.
        • Bellomo R.
        • Hillman K.
        • Kellum J.
        • Rotondi A.
        • Teres D.
        • et al.
        Findings of the first consensus conference on medical emergency teams.
        Crit Care Med. 2006 Sep; 34: 2463
        • Wendon J.
        • Hodgson C.
        • Bellomo R.
        Rapid response teams improve outcomes: we are not sure.
        Intensive Care Med. 2016 Apr 1; 42: 599-601
      2. Quality metrics for the evaluation of Rapid Response Systems: Proceedings from the third international consensus conference on Rapid Response Systems- ClinicalKey [Internet]. [cited 2021 May 24]. Available from: https://www-clinicalkey-com-au.journals.cicm.org.au/#!/content/playContent/1-s2.0-S0300957219301807.

        • Bodenreider O.
        Biomedical ontologies in action: role in knowledge management, data integration and decision support.
        Yearb Med Inform. 2008; : 67-79
        • Peberdy Mary Ann
        • Michelle Cretikos
        • Abella Benjamin S.
        DeVita Michael, Goldhill David, Kloeck Walter, et al. Recommended Guidelines for Monitoring, Reporting, and Conducting Research on Medical Emergency Team, Outreach, and Rapid Response Systems: an Utstein-Style Scientific Statement.
        Circulation. 2007 Nov 20; 116: 2481-2500
        • Fernando S.M.
        • Reardon P.M.
        • McIsaac D.I.
        • Eagles D.
        • Murphy K.
        • Tanuseputro P.
        • et al.
        Outcomes of older hospitalized patients requiring Rapid response team Activation for acute deterioration.
        Crit Care Med. 2018 Dec; 46: 1953-1960
      3. Medical emergency teams at The Ottawa Hospital: the first two years. - PubMed - NCBI [Internet]. [cited 2019 Aug 1]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/?term=medical+emergency+teams+at+the+ottawa+hospital+first+two+years.

        • Benbya H.
        • Leidner D.
        • Preston D.
        Information systems alignment.
        in: Bush Ashley Rai Arun MIS quarterly research curations. March 2019 (10.2530003152019)
        • O'Brien B.C.
        • Harris I.B.
        • Beckman T.J.
        • Reed D.A.
        • Cook D.A.
        Standards for reporting qualitative research: a synthesis of recommendations.
        Acad Med. 2014 Sep; 89: 1245-1251
        • Flick U.
        The SAGE handbook of qualitative data analysis.
        ([Internet]. 1 Oliver’s Yard, 55 City Road) SAGE Publications Ltd, London EC1Y 1SP United Kingdom2014 ([cited 2021 Jul 28]. Available from:)
      4. Department of Health & Human Services. Victorian Children's Tool for Observation and Response (ViCTOR) [Internet]. [cited 2019 Oct 5]. Available from: https://www2.health.vic.gov.au:443/hospitals-and-health-services/quality-safety-service/clinical-networks/clinical-network-paediatric/vpcn-victor.

        • Lyons P.G.
        • Edelson D.P.
        • Churpek M.M.
        Rapid response systems.
        Resuscitation. 2018 Jul; 128: 191-197
      5. Critical Care Resources (CCR) Registry [Internet]. ANZICS. [cited 2020 Dec 7]. Available from: https://www.anzics.com.au/critical-care-resources-ccr-registry/.