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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/30609

Title: Reducing ‘Failure-to-Rescue’ Events through Enhanced Critical Care Response Teams
Authors: Archana, Gopal
Advisor: Cafazzo, Joseph
Department: Biomedical Engineering
Keywords: Electronic Patient Monitoring
Medical Emergency Teams
Issue Date: 7-Dec-2011
Abstract: Failure to recognize and respond to changes in a patient’s condition is a limitation in the effective utilization of Medical Emergency Teams (METs). A system that uses smartphone technology to facilitate vital signs collection at bedside has been developed. The alerts engine, based upon Mount Sinai Hospital’s (MSH) MET calling criteria, can automatically alert the MET of patients exhibiting abnormal vital signs. The system, without automated alerting, was piloted at MSH. Sensitivity and specificity calculations revealed that the MSH algorithm had a lower sensitivity and specificity than the Cuthbertson or the Modified Early Warning Score algorithms. This suggests that the MSH algorithm, compared to the others, was poor at identifying patients that did and did not require a MET consultation. Furthermore, the low positive predictive value suggests that the majority of alerts were not associated with a MET call. Therefore, the MSH algorithm is not recommended for the automated system.
URI: http://hdl.handle.net/1807/30609
Appears in Collections:Master

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