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Incorporating Patient Acuity Rating Score Into Patient Handoffs and the Correlation With Rapid Responses and Unexpected ICU Transfers.

Publication ,  Journal Article
O'Donnell, C; Thomas, S; Johnson, C; Verma, L; Bae, J; Gallagher, D
Published in: Am J Med Qual
2017

Handoffs and rapid response team (RRT) activations have been a focus for quality improvement in hospital medicine. This study aimed to incorporate a previously used scoring system (1-7) for severity of illness on initial encounter as a handoff adjunct and to determine its impact on the number of RRTs and intensive care unit transfers. The Patient Acuity Rating (PAR) scale correlates with subsequent RRTs and transfers to a higher level of care, with higher scores leading to increased rates of RRTs and transfers. Patients who experienced an RRT at any time (mean score 4.69), within 24 hours (4.74), or an unplanned transfer (5.16) had higher PAR scores on assessment than those who did not (4.02; all P < .05). There was an increased likelihood of RRTs and transfers with scores of 6 or higher. There was no reduction in the quantity of RRTs or unplanned intensive care unit transfers comparing preintervention and postintervention data.

Duke Scholars

Published In

Am J Med Qual

DOI

EISSN

1555-824X

Publication Date

2017

Volume

32

Issue

2

Start / End Page

122 / 128

Location

Netherlands

Related Subject Headings

  • Severity of Illness Index
  • Quality Improvement
  • Patient Transfer
  • Patient Handoff
  • Patient Acuity
  • Intensive Care Units
  • Humans
  • Hospital Rapid Response Team
  • Health Policy & Services
  • 4203 Health services and systems
 

Citation

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MLA
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O’Donnell, C., Thomas, S., Johnson, C., Verma, L., Bae, J., & Gallagher, D. (2017). Incorporating Patient Acuity Rating Score Into Patient Handoffs and the Correlation With Rapid Responses and Unexpected ICU Transfers. Am J Med Qual, 32(2), 122–128. https://doi.org/10.1177/1062860616630809
O’Donnell, Christopher, Samantha Thomas, Crystal Johnson, Lalit Verma, Jonathan Bae, and David Gallagher. “Incorporating Patient Acuity Rating Score Into Patient Handoffs and the Correlation With Rapid Responses and Unexpected ICU Transfers.Am J Med Qual 32, no. 2 (2017): 122–28. https://doi.org/10.1177/1062860616630809.
O’Donnell C, Thomas S, Johnson C, Verma L, Bae J, Gallagher D. Incorporating Patient Acuity Rating Score Into Patient Handoffs and the Correlation With Rapid Responses and Unexpected ICU Transfers. Am J Med Qual. 2017;32(2):122–8.
O’Donnell, Christopher, et al. “Incorporating Patient Acuity Rating Score Into Patient Handoffs and the Correlation With Rapid Responses and Unexpected ICU Transfers.Am J Med Qual, vol. 32, no. 2, 2017, pp. 122–28. Pubmed, doi:10.1177/1062860616630809.
O’Donnell C, Thomas S, Johnson C, Verma L, Bae J, Gallagher D. Incorporating Patient Acuity Rating Score Into Patient Handoffs and the Correlation With Rapid Responses and Unexpected ICU Transfers. Am J Med Qual. 2017;32(2):122–128.
Journal cover image

Published In

Am J Med Qual

DOI

EISSN

1555-824X

Publication Date

2017

Volume

32

Issue

2

Start / End Page

122 / 128

Location

Netherlands

Related Subject Headings

  • Severity of Illness Index
  • Quality Improvement
  • Patient Transfer
  • Patient Handoff
  • Patient Acuity
  • Intensive Care Units
  • Humans
  • Hospital Rapid Response Team
  • Health Policy & Services
  • 4203 Health services and systems