Critical Incidents Involving the Medical Emergency Team: A 5-Year Retrospective Assessment for Healthcare Improvement. Issue 3 (May 2021)

• Record Type: Journal Article
• Authors: Danielis, Matteo; Destrebecq, Anne; Terzoni, Stefano; Palese, Alvisa
• Is Part Of: Dimensions of critical care nursing. Volume 40:Issue 3(2021)
• Page Start: 186
• Page End: 191
• Publication Date: 2021-05
• Subjects: Critical incident -- In-hospital emergency -- Medical emergency team -- Patient safety -- Quality of care -- Resuscitation; Intensive care nursing -- Periodicals; 610.736
• DOI: 10.1097/DCC.0000000000000473
• Languages: English
• ISSNs: 0730-4625

Abstract

Abstract : Background: Medical emergency teams (METs), which have been established in several countries, contribute to a reported decrease in deteriorated patients' in-hospital mortality. To date, no data have been published on critical incidents that occurred in METs affecting patients' safety. Objectives: The aim of the study was to identify and describe critical incidents that occurred during METs' activities in a large academic Italian hospital. Methods: The data, which were stored in the official incident reporting system of the hospital and included all critical incidents that occurred and were reported in anonymous and voluntary forms over a 5-year period, were retrospectively analyzed. Results: Overall, 17 critical incidents emerged, during both the team alert stage (n = 10) and its performance (n = 7), with approximately 3 events per year and an incident rate of 1.7 for every 1000 MET interventions. Discussion: Medical emergency teams' critical incidents are rare and mainly due to the lack of compliance with protocols and of training and supplies, which require appropriate educational and organizational strategies.