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Çѹ̶ó ( Han Mi-Ra ) - Catholic University Seoul St. Mary¡¯s Hospital Department of Nursing
°ÀºÇü ( Kang Eun-Hyoung ) - Catholic University Seoul St. Mary¡¯s Hospital Department of Nursing ÀÌ¿ë¼÷ ( Lee Yong-Suk ) - Catholic University Seoul St. Mary¡¯s Hospital Department of Nursing ÀåÀºÁÖ ( Chang Eun-Ju ) - Catholic University Seoul St. Mary¡¯s Hospital Department of Nursing À̼öÁ¤ ( Lee Su-Jeong ) - Catholic University Seoul St. Mary¡¯s Hospital Department of Nursing ÇãÀ±¾Æ ( Heo Yoon-A ) - Catholic University Seoul St. Mary¡¯s Hospital Department of Nursing ³²±Ã¼È ( Namgung Seo-Hwa ) - Catholic University Seoul St. Mary¡¯s Hospital Department of Nursing ¼¼Èñ ( Seo Seo-Hee ) - Catholic University Seoul St. Mary¡¯s Hospital Department of Nursing
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Abstract
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¸ñÀû : ½Å¼Ó´ëÀÀÆÀÀº ÀÔ¿ø ȯÀÚÀÇ Áõ»ó°ú ¡Èĸ¦ °¨ÁöÇÏ°í ÁßÀç¿Í Ä¡·á¸¦ Á¦°øÇϴ ȯÀÚ ¾ÈÀü ½Ã½ºÅÛÀÌ´Ù. º» ¿¬±¸´Â ½Å¼Ó´ëÀÀÆÀÀÇ È°¼ºÈ ½Ã°£¿¡ ¿µÇâÀ» ÁÖ´Â ¿äÀÎÀ» ºÐ¼®Çß´Ù.
¹æ¹ý : ½Å¼Ó´ëÀÀÆÀ¿¡¼ È°¼ºÈ µÇ¾ú´ø ȯÀÚÀÇ ÀüÀÚ Àǹ« ±â·ÏÀ» ºÐ¼® ÇÑ ¼¼úÀû »ó°ü °ü°è ¿¬±¸ÀÌ´Ù. ¼öÁý ±â°£Àº 2014³â 1¿ùºÎÅÍ 2017³â 12¿ù ±îÁö´Ù. ¼¿ï C ´ëÇб³ S º´¿ø¿¡¼ 16 ¼¼ ÀÌ»ó ȯÀÚ¸¦ ´ë»óÀ¸·Î ½Å¼Ó´ëÀÀÆÀ¿¡¼ È°¼ºÈ ÇÑ 278°ÇÀÇ µ¥ÀÌÅ͸¦ ºÐ¼®Çß´Ù. µ¥ÀÌÅÍ ºÐ¼®À» À§ÇØ SPSS 23.0 ÇÁ·Î±×·¥À» »ç¿ëÇß´Ù.
°á°ú : ½Å¼Ó´ëÀÀÆÀ È°¼ºÈ ÀÌÀ¯´Â »ê¼Ò Æ÷ȵµ°¡ 90.0 % ¹Ì¸¸, ±âŸÀÇ °æ¿ì,ÀÇ½Ä º¯È ¼ø¼¿´´Ù. È°¼ºÈ µÈ ȯÀÚÀÇ °¡Àå ÈçÇÑ Áø´ÜÀº È£Èí ºÎÀü (32.4 %)À̾ú´Ù. Æò±Õ È°¼ºÈ ½Ã°£Àº 153.43 ¡¾ 286.05 ºÐÀ̾ú´Ù. È°¼ºÈ ½Ã°£Àº °æ·Ã ¹ß»ý½Ã¿¡ °¡Àå ª¾Ò´Ù (13.29¡¾7.32 ºÐ). ½ÅÀå ÁúȯÀÇ º´·ÂÀÌ Àִ ȯÀÚ (B=0.58, p=.008), ¼ö¼úÀ» ¹Þ¾Ò´ø ȯÀÚ (B=0.55, p<.001), ´ã´çÀǻ簡 ÀÏÂ÷ÀûÀ¸·Î ÁßÀç ÇÑ °æ¿ì (B=0.53 , p=.007) È°¼ºÈ ½Ã°£Àº ±æ¾îÁø´Ù. ¹Ý¸é ÀÇ½Ä º¯È°¡ ÀÖ´Â °æ¿ì (B=-0.51, p=.002), »ê¼Ò Æ÷ȵµ°¡ 90.0 % ÀÌÇÏ (B=-0.64, p<.001)¸é È°¼ºÈ ½Ã°£ÀÌ Âª¾ÆÁø´Ù.
°á·Ð : ¿¬±¸ °á°ú¸¦ ¹ÙÅÁÀ¸·Î º´µ¿¿¡¼ ¾ÇÈ µÈ ȯÀÚ¸¦ Á¶±â¿¡ ÀÎÁöÇÏ¿© ½Å¼Ó´ëÀÀÆÀÀÇ È¿°úÀûÀÎ È°¼ºÈ¿¡ µµ¿òÀÌ µÉ °ÍÀ¸·Î ±â´ëÇÑ´Ù.
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Purpose: The rapid response team is a patient safety system that detects symptoms and signs of deteriorating inpatients and provides intervention and treatment. This study analyzed the factors influencing the activation time of the team.
Methods: This is a descriptive correlation study that analyzed the electronic medical records of patients activated by the rapid response team. The collection period was from January 2014 to December 2017. We analyzed 278 pieces of data activated by the rapid response team for patients aged 16 years or older at C University S Hospital in Seoul. We employed the SPSS 23.0 program for data analysis.
Results: The reasons for activation of the rapid response team were oxygen saturation of less than 90.0%, other causes, and change in consciousness. The most common diagnosis of activated patients was respiratory failure (32.4%). The average activation time was 153.43¡¾286.05 min. The activation time was shortest during convulsions (13.29¡¾7.32 min). For patients with a history of kidney disease (B=0.58, p=.008), in case of surgery (B=0.55, p<.001), if the first symptom is mediated by the physician (B=0.53, p=.007) the active time is often extended. On the other hand, activation time is reduced when consciousness changes (B=-0.51, p=.002), especially when oxygen saturation is below 90.0% (B=-0.64, p<.001).
Conclusion: Based on the results of the study, it is expected that patients deteriorating in the general ward would be recognized early, which will help in the effective activation of the rapid response team.
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KeyWords
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ȯÀÚ ¾ÈÀü, ½Å¼Ó´ëÀÀÆÀ, È°¼ºÈ, ½Ã°£
Patient Safety, Hospital Rapid Response Team, Activation, Time
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¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
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µîÀçÀú³Î Á¤º¸
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