| No. (%) of RRT activations (n= 855) |
---|---|
Position of activator calling RRT | Â |
   Nurse | 728 (85.1) |
   Physician | 113 (13.2) |
   Physical or occupational therapist | 7 (0.8) |
   Nonmedical staff | 7 (0.8) |
Reasons cited for activating RRT a | Â |
   RRT activated for reasons Including prespecified vital-signs criteriab | 485 (56.7) |
   RRT activated for reasons other than prespecified vital-signs criteriab | 370 (43.3) |
   Staff worried: clinical judgment that patient does not look right | 400 (46.8) |
   Change in mental status | 368 (43.0) |
   Pulse oximetry saturation < 90% | 285 (33.3) |
   Systolic blood pressure < 90 mm Hg | 165 (19.3) |
   Heart rate < 40, > 140, or change > 30 beats/minute | 144 (16.8) |
   Respiratory rate < 8 or > 30 breaths/minute | 117 (13.7) |
   Seizure-like activity | 103 (12.0) |
   Unresponsive | 65 (7.6) |
   Color change of patient | 51 (6.0) |
   Hypoglycemia | 30 (3.5) |
   Chest pain | 29 (3.4) |
   Uncontrolled or excessive bleeding | 25 (2.9) |
   Fall | 19 (2.2) |
   Respiratory distress | 17 (2.0) |
   Cold or pulseless extremity | 9 (1.1) |
   Lightheaded or dizzy | 8 (0.9) |
   Focal neurologic deficit | 8 (0.9) |
   Unable to reach treating physician | 4 (0.5) |
   Hypothermia | 3 (0.4) |
   Other (one RRT only) | 46 (5.4) |
Final diagnosis that immediately led to RRT activation | Â |
   Seizure | 120 (14.0) |
   Severe sepsis | 102 (11.9) |
   Arrhythmia | 83 (9.7) |
   Pneumonia | 66 (7.7) |
   Aspiration | 43 (5.0) |
   Syncope/Presyncope | 41 (4.8) |
   Hemorrhage | 39 (4.6) |
   Hypoglycemia | 34 (4.0) |
   Asthma/COPD exacerbation | 31 (3.6) |
   CHF exacerbation | 30 (3.5) |
   Psychiatric | 29 (3.4) |
   Malignancy | 24 (2.8) |
   Opiate overdose | 21 (2.5) |
   Medication-induced hypotension | 20 (2.3) |
   Cirrhosis | 15 (1.8) |
   Stroke | 14 (1.6) |
   Atypical chest pain | 12 (1.4) |
   Pulmonary embolus | 12 (1.4) |
   Myocardial infarction | 8 (0.9) |
   Hypertensive urgency/emergency | 7 (0.8) |
   ETT, tracheostomy tube, or ventilator dysfunction | 7 (0.8) |
   Medication-induced mental-status change | 7 (0.8) |
   Dementia | 6 (0.7) |
   Other (fewer than five RRTs) | 70 (8.2) |
   Unknown | 14 (1.6) |