Publications by authors named "JuRy Lee"
Background: Unanticipated adverse events could harm not only patients and families but also health care professionals. These people are defined as second victims. Second victim distress (SVD) refers to physical, emotional, and professional problems of health care professionals.
View Article and Find Full Text PDFRecurrent clinical deterioration and repeat medical emergency team (MET) activation are common and associated with high in-hospital mortality. This study assessed the predictors for repeat MET activation in deteriorating patients admitted to a general ward. We retrospectively analyzed the data of 5512 consecutive deteriorating hospitalized adult patients who required MET activation in the general ward.
View Article and Find Full Text PDFBackground: The current early warning scores may be insufficient for medical emergency teams (METs) to use in assessing the severity and the prognosis of activated patients. We evaluated the predictive powers of the Modified Early Warning Score (MEWS) and the National Early Warning Score (NEWS) for 28-day mortality and to analyze predictors of 28-day mortality in general ward patients who activate the MET.
Methods: Adult general ward inpatients who activated the MET in a tertiary referral teaching hospital between March 2009 and December 2016 were included.
Background/aims: Scoring systems play an important role in predicting intensive care unit (ICU) admission or estimating the risk of death in critically ill patients with hematological malignancies. We evaluated the modified early warning score (MEWS) for predicting ICU admissions and in-hospital mortality among at-risk patients with hematological malignancies and developed an optimized MEWS.
Methods: We retrospectively analyzed derivation cohort patients with hematological malignancies who were managed by a medical emergency team (MET) in the general ward and prospectively validated the data.
Objective: Early warning systems (EWSs) are an integral part of processes that aim to improve the early identification and management of deteriorating patients in general wards. However, the widespread implementation of these systems has not generated robust data regarding nurses' clinical performance and patients' adverse events. This review aimed to determine the ability of EWSs to improve nurses' clinical performance and prevent adverse events among deteriorating ward patients.
View Article and Find Full Text PDFObjectives: "Second victims" are defined as healthcare professionals whose wellness is influenced by adverse clinical events. The Second Victim Experience and Support Tool (SVEST) was used to measure the second-victim experience and quality of support resources. Although the reliability and validity of the original SVEST have been validated, those for the Korean tool have not been validated.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to evaluate how a simulated emergency airway management education program impacted nurses' confidence (self-efficacy) and skills (clinical performance) in intensive care units.
- Thirty-five nurses participated in the program, which included lectures, demonstrations, skill training, and debriefings, with assessments before and after the training.
- Results showed a significant boost in both self-efficacy and clinical performance regarding emergency airway management after the education program, indicating its effectiveness for clinical nursing education.
Article Synopsis
- The study aimed to compare a new gastrointestinal early warning score (EWS-GI) with the modified early warning score (MEWS) in predicting the need for ICU transfers among patients with gastrointestinal disorders.
- Researchers reviewed cases from the gastroenterology wards of Asan Medical Center and used logistic regression to find factors related to ICU transfers, ultimately identifying key vital signs and lab results for the EWS-GI algorithm.
- The results showed that the EWS-GI was more effective than MEWS in predicting ICU transfers, suggesting that EWS-GI should be further tested in future studies.
Rationale, Aims And Objectives: The aim of this study was to analyse the effects of the follow-up programme implemented by the Asan Medical Center Medical Emergency Team (MET).
Method: A quasi-experimental pre-post intervention design was used, retrospectively reviewed. The follow-up programme includes respiratory care, regular visits and communication between the attending doctors and MET nurse for patients discharged from the medical intensive care unit (MICU) to the general ward.
Objectives: To evaluate the efficacy of a medical emergency team activated using 24-hour monitoring by electronic medical record-based screening criteria followed by immediate intervention by a skilled team.
Design: Retrospective cohort study.
Setting: Academic tertiary care hospital with approximately 2,700 beds.