Admission characteristics predictive of in-hospital death from hospital-acquired sepsis: A comparison to community-acquired sepsis.

Purpose: Healthcare associated (HA) sepsis is associated with increased resource utilization and mortality compared with community acquired (CA) sepsis. The purpose of this study was to identify independent predictors of in-hospital mortality from HA-sepsis.

Materials And Methods: Retrospective study of adult patients admitted with HA or CA-sepsis.

Managing sepsis: Electronic recognition, rapid response teams, and standardized care save lives.

Purpose: Sepsis can lead to poor outcomes when treatment is delayed or inadequate. The purpose of this study was to evaluate outcomes after initiation of a hospital-wide sepsis alert program.

Materials And Methods: Retrospective review of patients ≥18years treated for sepsis.

Naloxone Triggering the RRT: A Human Antidote?

Objectives: At our institution, we observed an increase in opioid-related adverse events after instituting a new pain treatment protocol. To prevent this, we programmed the Omnicell drug dispensing system to page the RRT whenever naloxone was withdrawn on the general wards.

Methods: Retrospective review of a prospectively collected database with a before and after design.

Proactive rounding by the rapid response team reduces inpatient cardiac arrests.

Objective: Rapid response teams (RRTs) are frequently employed to respond to deteriorating inpatients. Proactive rounding (PR) consists of the RRT nurse rounding through the inpatient wards identifying high risk patients and intervening preemptively. At our institution, PR began in July of 2007.

Successful implementation of a family and patient activated rapid response team in an adult level 1 trauma center.

Background: When cardiac arrests occur in hospitalized patients, delays in treatment are associated with lower survival and poorer outcomes. Patients often show a physiological deterioration hours before cardiac or pulmonary arrest. As a result, many hospitals have implemented a rapid response team (RRT) as part of their involvement in the 100,000 Lives Campaign sponsored by the Institute for Healthcare Improvement.