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Medical Emergency Teams

Implementation and Outcome Measurement

  • Book
  • © 2006

Overview

Editors:
  1. Michael A. DeVita

    1. University of Pittsburgh School of Medicine, Pittsburgh, USA
      UPMC Presbyterian Hospital, Pittsburgh, USA

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    You can also search for this editor in PubMed   Google Scholar

  2. Kenneth Hillman

    1. The Simpson Centre for Health Services Research, Liverpool Hospital, Liverpool, Australia

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    You can also search for this editor in PubMed   Google Scholar

  3. Rinaldo Bellomo

    1. Austin Hospital, Heidelberg, Australia

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    You can also search for this editor in PubMed   Google Scholar

  • Provides advice, tips and process guidelines from successful MET programs—a valuable exposure never before seen

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Table of contents (25 chapters)

  1. Front Matter

    Pages i-xx
    Download chapter PDF

  2. Mets and Patient Safety

    1. Measuring and Improving Safety

      • Peter J. Pronovost, Marlene Miller, Brad Winters, Elizabeth A. Hunt
      Pages 1-17

    2. The Evolution of the Health Care System

      • Kenneth Hillman, Jack Chen, Lis Young
      Pages 18-23

    3. Process Change in Health Care Institutions: Top-Down or Bottom-Up?

      • Lakshmipathi Chelluri
      Pages 24-31

    4. The Challenge of Predicting In-Hospital Iatrogenic Deaths

      • Michael Buist, Donald Campbell
      Pages 32-48

    5. Overview of Hospital Medicine

      • David J. McAdams
      Pages 49-54

    6. Medical Trainees and Patient Safety

      • Stephen W. Lam, Arthas Flabouris
      Pages 55-62

    7. Matching Levels of Care with Levels of Illness

      • Gary B. Smith, Juliane Kause
      Pages 63-79

  3. Creating a Mets System

    1. General Principles of Medical Emergency Teams

      • Daryl Jones, Rinaldo Bellomo, Donna Goldsmith
      Pages 80-90

    2. Potential Sociological and Political Barriers to Medical Emergency Team Implementation

      • Michael A. DeVita, Kenneth Hillman
      Pages 91-103

    3. Overview of Various Medical Emergency Team Models

      • Michelle Cretikos, Rinaldo Bellomo
      Pages 104-115

    4. Early Goal-Directed Therapy

      • David T. Huang, Scott R. Gunn, Emanuel P. Rivers
      Pages 116-121

    5. Nurse-Led Medical Emergency Teams: A Recipe for Success in Community Hospitals

      • Kathy D. Duncan
      Pages 122-133

    6. ICU Without Walls: A New York City Model

      • Vladimir Kvetan, Brian Currie
      Pages 134-144

    7. Hospital Size and Location and the Feasibility of the Medical Emergency Team

      • Daryl Jones, Rinaldo Bellomo
      Pages 145-151

    8. Medical Emergency Teams in Teaching Hospitals

      • Helen Ingrid Opdam
      Pages 152-162

    9. The Nurse’s Perspective

      • Nicolette C. Mininni, Carole C. Scholle
      Pages 163-172

    10. The Hospital Administrator’s Perspective

      • Craig White, Rinaldo Bellomo
      Pages 173-183

    11. Personnel Resources for Crisis Response

      • Andrew W. Murray, Michael A. DeVita, John J. Schaefer III
      Pages 184-198

    12. Equipment, Medications, and Supplies for a Medical Emergency Team Response

      • Edgar Delgado, Wendeline J. Grbach, Joanne Kowiatek, Michael A. DeVita
      Pages 199-216
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Keywords

About this book

Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of “C- dition C (Crisis),” as it was called to distinguish it from “Condition A (Arrest). ”We thought it absurd to intervene only after cardiac arrest had occurred,because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible.

Reviews

From the reviews:

"The aim of this book is to provide a manual describing the approach to creating a Medical Emergency Team (MET) service and evaluating its performance. The book presents a comprehensive overview of the concept … . Examples from practice are frequently cited from a global perspective. … Chapters are self-sufficient units that each review one aspect of the MET. … it is an important guide to the dos and don’ts of establishing a MET." (Ann McGinley and Rupert M Pearse, Critical Care Forum, April, 2007)

"The medical emergency team (MET) is a concept which is aimed at identifying those hospital patients at risk of clinical deterioration. … This book aims to be a guide to health care professionals and administrators wishing to implement this concept in their hospital. It is intended primarily as a resource for those aiming to set up a MET in their hospital. … It should certainly be read by hospital administrators and those interested in quality improvement, currently working in hospitals without such teams." (L. Walker and N. R. Webster, British Journal of Anaesthesia, Vol. 97 (6), 2006)

"A comprehensive multiauthored review that examines techniques for implementation and assessment of hospital-based medical emergency teams (METs). … This readable text provides great background and advice for anyone involved in implementation of a MET. … All physicians actively involved in a hospital-based practice. In addition, nurses, respiratory therapists, and hospital administrators actively involved in MET implementation will find … useful." (Nicola Schiebel, Mayo Clinic Proceedings, Vol. 81 (7), July, 2006)

Editors and Affiliations

  • University of Pittsburgh School of Medicine, Pittsburgh, USA

    Michael A. DeVita

  • UPMC Presbyterian Hospital, Pittsburgh, USA

    Michael A. DeVita

  • The Simpson Centre for Health Services Research, Liverpool Hospital, Liverpool, Australia

    Kenneth Hillman

  • Austin Hospital, Heidelberg, Australia

    Rinaldo Bellomo

Bibliographic Information

  • Book Title: Medical Emergency Teams

  • Book Subtitle: Implementation and Outcome Measurement

  • Editors: Michael A. DeVita, Kenneth Hillman, Rinaldo Bellomo

  • DOI: https://doi.org/10.1007/0-387-27921-0

  • Publisher: Springer New York, NY

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer-Verlag New York 2006

  • Softcover ISBN: 978-0-387-27920-6Published: 08 December 2005

  • eBook ISBN: 978-0-387-27921-3Published: 03 July 2007

  • Edition Number: 1

  • Number of Pages: XX, 296

  • Number of Illustrations: 50 b/w illustrations

  • Topics: Intensive / Critical Care Medicine, Emergency Services, Emergency Medicine, Anesthesiology

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