British Journal of Anaesthesia, 2003, Vol. 90, No. 6 808-809
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia
Correspondence |
Outreach critical care
1 University of New South Wales, Liverpool Hospital, Sydney, Australia 2 Aberdeen, UK
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EditorI would like to congratulate Dr Cuthbertson on the excellent summary of outreach teams, including a plea for evidence of its effectiveness before encouraging its introduction.1
When discussing outreach teams it is important to look at two dimensions. First, is there a problem in acute hospitals, which needs to be addressed: and secondly, what is the most effective way of dealing with that problem? There is little doubt that there is a large number of potentially preventable deaths, cardiorespiratory arrests and other serious complications in acute hospitals across many countries.2 There are many documented reasons for this including disempowered nursing staff who record deterioration without directly intervening; junior medical staff who have little formal training, either at an undergraduate
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C. Ball, M. Kirkby, and S. Williams Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomised population based study BMJ, November 1, 2003; 327(7422): 1014. [Abstract] [Full Text] [PDF] |
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