The transfer of these patients was greatly facilitated and the inpatient ward staff was greatly satisfied with the interaction with the Outreach Team. Bedside education, expert resources and better patient-family communication were the most valued features of the team when the in-patient ward staff was surveyed. We noted a tremendous increase in the accessibility of the ICU to the hospital population. We did not, however, notice a decrease in the number of cardiac arrests in the hospital." (Simone, et al., 2007)
It was reported in the work entitled: "Pilot Project at TGH Shows that Critical Care Response Teams Can Significantly Reduce Cardiac and Respiratory Arrests and Hospital Deaths" in 2007 that data gathered between May 2005 and May 2006 "on the impact of the critical care response teams on 342 patients in Toronto General Hospital, University Health Network (UHN) showed that there was a seven percent reduction in heart attacks and a 25% reduction in respiratory arrests (when patients stop breathing and need mechanical assistance to breathe)." (University Health Network, 2007) This equals approximately 80 saved lives in one years' time. Data is also stated to have shown that "...after the response teams intervened, 71% of patients were able to remain on the ward, and 21% were transferred to the ICU. Others were transferred to units with more intense care that the wards." (University Health Network, 2007)
The work of Baxter (nd) entitled: "Critical Care Outreach at the Ottawa Hospital" reports that critical care outreach enables:
(1) Earlier recognition of patients at risk of significant deterioration and better use of vital signs; and (2) Early aggressive and adequate resuscitation by experienced personnel. (Baxter, nd)
This has led to:
(1) Prevention of physiological deterioration; and (2) Improved outcomes for patients. (Baxter, nd)
Resulting as well were the following benefits:
(1) Better follow up of patients discharged from the ICUE; and (2) Avoidance of inappropriate admission or readmission to the ICU. (Baxter, nd)
METHODOLOGY
The methodology proposed for the research is one of a quantitative nature and one that will involve collection of data related to cardiac arrest outcomes...
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