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A Pilot Study of the Effectiveness of Medical Emergency System Implementation at a Single Center in Korea

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dc.contributor.author김세규-
dc.contributor.author김영삼-
dc.contributor.author이수환-
dc.contributor.author임아영-
dc.contributor.author정경수-
dc.contributor.author김경덕-
dc.contributor.author김영아-
dc.contributor.author노영옥-
dc.date.accessioned2017-11-02T08:16:30Z-
dc.date.available2017-11-02T08:16:30Z-
dc.date.issued2017-
dc.identifier.issn2383-4870-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/154283-
dc.description.abstractBackground : An automatic alarm system was developed was developed for unexpected vital sign instability in admitted patients to reduce staffing needs and costs related to rapid response teams. This was a pilot study of the automatic alarm system, the medical emergency system (MES), and the aim of this study was to determine the effectiveness of the MES before expanding this system to all departments. Methods : This retrospective, observational study compared the performance of patients admitted to the pulmonary department at a single center using patient data from three 3-month periods (before implementation of the MES, December 2013-February 2014; after implementation of the MES, December 2014-February 2015 and December 2015-February 2016). Results : A total of 571 patients were admitted to the pulmonary department during the three observation periods. During this pilot study, the MES automatically issued 568 alarms for 415 admitted patients. There was no significant difference in the rate of cardiopulmonary resuscitation (CPR) before and after application of the MES. The mortality rate also did not change. However, it appeared that CPR was prevented in four patients admitted from the general ward to the intensive care unit (ICU) during MES implementation. The median length of hospital stay and median length of ICU stay were not significantly different before and after MES implementation. Conclusions : Although we did not find a significant improvement in outcomes upon MES implementation, the CPR rate and mortality rate did not increase despite increased comorbidities. This was a small pilot study and, based on these results, we believe that the MES may have significant effects in longer-term and larger-scale studies.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherKorean Society of Critical Care Medicine-
dc.relation.isPartOfKorean Journal of Critical Care Medicine-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleA Pilot Study of the Effectiveness of Medical Emergency System Implementation at a Single Center in Korea-
dc.typeArticle-
dc.publisher.locationKorea-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorSu Hwan Lee-
dc.contributor.googleauthorAh Young Leem-
dc.contributor.googleauthorYoungok Nho-
dc.contributor.googleauthorYoung Ah Kim-
dc.contributor.googleauthorKyung Duck Kim-
dc.contributor.googleauthorYoung Sam Kim-
dc.contributor.googleauthorSe Kyu Kim-
dc.contributor.googleauthorKyung Soo Chung-
dc.identifier.doi10.4266/kjccm.2016.01011-
dc.contributor.localIdA00707-
dc.contributor.localIdA02904-
dc.contributor.localIdA03382-
dc.contributor.localIdA03570-
dc.contributor.localIdA05087-
dc.contributor.localIdA04905-
dc.contributor.localIdA05121-
dc.contributor.localIdA00602-
dc.relation.journalcodeJ01995-
dc.relation.journalsince2004~-
dc.relation.journalbefore~2003 Korean Journal of Critical Care Medicine (대한중환자의학회지)-
dc.subject.keywordclinical alarms-
dc.subject.keywordcritical care-
dc.subject.keywordintensive care units-
dc.subject.keywordinternal medicine-
dc.subject.keywordmonitoring, physiologic-
dc.contributor.alternativeNameKim, Se Kyu-
dc.contributor.alternativeNameKim, Young Sam-
dc.contributor.alternativeNameLee, Su Whan-
dc.contributor.alternativeNameLeem, Ah Young-
dc.contributor.alternativeNameJung, Kyung Soo-
dc.contributor.alternativeNameKim, Kyung Duck-
dc.contributor.alternativeNameKim, Young Ah-
dc.contributor.alternativeNameNho, Youngok-
dc.contributor.affiliatedAuthorKim, Young Sam-
dc.contributor.affiliatedAuthorLee, Su Whan-
dc.contributor.affiliatedAuthorLeem, Ah Young-
dc.contributor.affiliatedAuthorJung, Kyung Soo-
dc.contributor.affiliatedAuthorKim, Kyung Duck-
dc.contributor.affiliatedAuthorKim, Young Ah-
dc.contributor.affiliatedAuthorNho, Youngok-
dc.contributor.affiliatedAuthorKim, Se Kyu-
dc.citation.titleKorean Journal of Critical Care Medicine-
dc.citation.volume32-
dc.citation.number2-
dc.citation.startPage133-
dc.citation.endPage141-
dc.identifier.bibliographicCitationKorean Journal of Critical Care Medicine, Vol.32(2) : 133-141, 2017-
dc.date.modified2017-11-01-
dc.identifier.rimsid42251-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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