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Table 2 Development in patient monitoring, escalation, LOMT documentation and omission events

From: Reduction in omission events after implementing a Rapid Response System: a mortality review in a department of gastrointestinal surgery

 

P1

P2

P3

Comparison between all periods,

p-value

P1 vs. P2,

p-value

P1 vs. P3,

p-value

P2 vs. P3,

p-value

Number of patients

76

56

54

    

*Number of complete vital sign sets/24 h/patient. Median (Q1, Q3)

0 (0, 0)

2 (1, 2)

4 (3, 5)

< 0.001

< 0.001

< 0.001

< 0.001

*Number of simple vital signs sets/24 h/patient Median (Q1, Q3)

2 (1, 2)

2 (1, 2)

4 (3, 5)

< 0.001

0.012

< 0.001

< 0.001

LOMT documented N (%)

58 (76)

42 (76)

48 (89)

0.15

   

**Days from admission to LOMT Median (Q1, Q3)

8 (4, 16)

8 (1,16)

3 (1, 10)

0.011

0.25

0.003

0.09

Cardiac arrest alarms N (%)

14 (18)

11 (20)

3 (6)

0.07

   

ICU-consult in the wards (MET in period 2, 3) N (%)

9 (12)

17 (30)

18 (33)

0.007

0.008

0.003

0.738

ICU transfer N (%)

14 (18)

16 (29)

18 (33)

0.14

   

Cases with one or more events of omission N (%)

30 (40)

11 (20)

6 (11)

0.01

0.015

< 0.001

0.216

Types of omissions

    

Failure to monitor N (%)

20 (26)

5 (9)

1 (2)

< 0.001

0.012

< 0.001

0.102

Failure to escalate N (%)

14 (18)

7 (13)

2 (4)

0.043

0.358

0.012

0.092

Delayed surgery N (%)

2 (3)

2 (4)

3 (6)

0.800¤

   

Unexpected deaths N

2 (3)

2(4)

0 (0)

0.455¤

   
  1. Comparing groups, statistics:
  2. Continuous data: Kruskal-Wallis test. Categorical data: Chi-squared test. ¤Chi-squared test with Monte Carlo simulation. For the pairwise post-hoc tests, p-values < 0.0167 are considered significant due to the Bonferroni correction.
  3. Complete vital sign set: all vital signs (pulse, O2 saturation, resp. frequency, BP) measured at the same period, counted the first complete 24 h stay in the ward.
  4. Simple vital signs set: Minimum one vital sign (pulse, blood pressure, resp. frequency, O2 saturation) measured, counted on the first complete 24 h stay in the ward.
  5. *Only 173 patients included, due to two cases with missing charts and 11 patients with < 24 h stay.
  6. ** of the 149 patients who had a documented LOMT.