التفاصيل البيبلوغرافية
| العنوان: |
Advanced Practice Providers as Leaders of a Rapid Response Team: A Prospective Cohort Study |
| المؤلفون: |
Herman G. Kreeftenberg, Ashley J. R. de Bie, Jeroen T. Aarts, Alexander J. G. H. Bindels, Nardo J. M. van der Meer, Peter H. J. van der Voort |
| المصدر: |
Healthcare; Volume 10; Issue 11; Pages: 2122 |
| بيانات النشر: |
Multidisciplinary Digital Publishing Institute |
| سنة النشر: |
2022 |
| المجموعة: |
MDPI Open Access Publishing |
| مصطلحات موضوعية: |
rapid response team, advanced practice provider, physician assistant, intensive care medicine, critical care, outcome, medical resident |
| الوصف: |
In view of the shortage of medical staff, the quality and continuity of care may be improved by employing advanced practice providers (APPs). This study aims to assess the quality of these APPs in critical care. In a large teaching hospital, rapid response team (RRT) interventions led by APPs were assessed by independent observers and intensivists and compared to those led by medical residents MRs. In addition to mortality, the MAELOR tool (assessment of RRT intervention), time from RRT call until arrival at the scene and time until completion of clinical investigations were assessed. Process outcomes were assessed with the crisis management skills checklist, the Ottawa global rating scale and the Mayo high-performance teamwork scale. The intensivists assessed performance with the handoff CEX recipient scale. Mortality, MAELOR tool, time until arrival and clinical investigation in both groups were the same. Process outcomes and performance observer scores were also equal. The CEX recipient scores, however, showed differences between MRs and APPs that increased with experience. Experienced APPs had significantly better situational awareness, better organization, better evaluations and better judgment than MRs with equal experience (p < 0.05). This study shows that APPs perform well in leading an RRT and may provide added quality over a resident. RRTs should seriously consider the deployment of APPs instead of junior clinicians. |
| نوع الوثيقة: |
text |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| العلاقة: |
Healthcare Quality and Patient Safety; https://dx.doi.org/10.3390/healthcare10112122Test |
| DOI: |
10.3390/healthcare10112122 |
| الإتاحة: |
https://doi.org/10.3390/healthcare10112122Test |
| حقوق: |
https://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: |
edsbas.4EA6BD3D |
| قاعدة البيانات: |
BASE |
