Condition Help: A Patient- and Family-Initiated Rapid Response System

Elizabeth Eden, Laurie L. Rack, Ling Wan Chen, Gregory M. Bump

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Rapid response teams (RRTs) help in delivering safe, timely care. Typically they are activated by clinicians using specific parameters. Allowing patients and families to activate RRTs is a novel intervention. The University of Pittsburgh Medical Center developed and implemented a patient- and family-initiated rapid response system called Condition Help (CH).

METHODS: When the CH system is activated, a patient care liaison or an on-duty administrator meets bedside with the unit charge nurse to address the patient's concerns. In this study, we collected demographic data, call reasons, call designations (safety or nonsafety), and outcome information for all CH calls made during the period January 2012 through June 2015.

RESULTS: Two hundred forty patients/family members made 367 CH calls during the study period. Most calls were made by patients (76.8%) rather than family members (21.8%). Of the 240 patients, 43 (18%) made multiple calls; their calls accounted for 46.3% of all calls (170/367). Inadequate pain control was the reason for the call in most cases (48.2%), followed by dissatisfaction with staff (12.5%). The majority of calls involved nonsafety issues (83.4%) rather than safety issues (11.4%). In 41.4% of cases, a change in care was made.

CONCLUSIONS: Patient- and family-initiated RRTs are designed to engage patients and families in providing safer care. In the CH system, safety issues are identified, but the majority of calls involve nonsafety issues. Journal of Hospital Medicine 2017;12:157-161.

Original languageEnglish (US)
Pages (from-to)157-161
Number of pages5
JournalJournal of Hospital Medicine
Volume12
Issue number3
DOIs
StatePublished - Mar 1 2017
Externally publishedYes

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Safety
Supervisory Nursing
Hospital Medicine
Administrative Personnel
Patient Care
Demography
Pain

ASJC Scopus subject areas

  • Leadership and Management
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

Cite this

Condition Help : A Patient- and Family-Initiated Rapid Response System. / Eden, Elizabeth; Rack, Laurie L.; Chen, Ling Wan; Bump, Gregory M.

In: Journal of Hospital Medicine, Vol. 12, No. 3, 01.03.2017, p. 157-161.

Research output: Contribution to journalArticle

Eden, Elizabeth ; Rack, Laurie L. ; Chen, Ling Wan ; Bump, Gregory M. / Condition Help : A Patient- and Family-Initiated Rapid Response System. In: Journal of Hospital Medicine. 2017 ; Vol. 12, No. 3. pp. 157-161.
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abstract = "BACKGROUND: Rapid response teams (RRTs) help in delivering safe, timely care. Typically they are activated by clinicians using specific parameters. Allowing patients and families to activate RRTs is a novel intervention. The University of Pittsburgh Medical Center developed and implemented a patient- and family-initiated rapid response system called Condition Help (CH).METHODS: When the CH system is activated, a patient care liaison or an on-duty administrator meets bedside with the unit charge nurse to address the patient's concerns. In this study, we collected demographic data, call reasons, call designations (safety or nonsafety), and outcome information for all CH calls made during the period January 2012 through June 2015.RESULTS: Two hundred forty patients/family members made 367 CH calls during the study period. Most calls were made by patients (76.8{\%}) rather than family members (21.8{\%}). Of the 240 patients, 43 (18{\%}) made multiple calls; their calls accounted for 46.3{\%} of all calls (170/367). Inadequate pain control was the reason for the call in most cases (48.2{\%}), followed by dissatisfaction with staff (12.5{\%}). The majority of calls involved nonsafety issues (83.4{\%}) rather than safety issues (11.4{\%}). In 41.4{\%} of cases, a change in care was made.CONCLUSIONS: Patient- and family-initiated RRTs are designed to engage patients and families in providing safer care. In the CH system, safety issues are identified, but the majority of calls involve nonsafety issues. Journal of Hospital Medicine 2017;12:157-161.",
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