American Journal of Obstetrics & Gynecology
Volume 198, Issue 4 , Pages 367.e1-367.e7 , April 2008

Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experience

  • Gabriella G. Gosman, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Corresponding Author InformationReprints: Gabriella G. Gosman, MD, 300 Halket St, Room 2314, Pittsburgh, PA 15213
    • ,
  • Marie R. Baldisseri, MD

      Affiliations

    • Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • ,
  • Karen L. Stein, RN, MSED

      Affiliations

    • Magee-Womens Hospital Patient Care Services, University of Pittsburgh School of Medicine, Pittsburgh, PA.
    • ,
  • Trish A. Nelson, RN, MHRM

      Affiliations

    • Magee-Womens Hospital Patient Care Services, University of Pittsburgh School of Medicine, Pittsburgh, PA.
    • ,
  • Susan H. Pedaline, MS, BSN

      Affiliations

    • Magee-Womens Hospital Patient Care Services, University of Pittsburgh School of Medicine, Pittsburgh, PA.
    • ,
  • Jonathan H. Waters, MD

      Affiliations

    • Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • ,
  • Hyagriv N. Simhan, MD, MSCR

      Affiliations

    • Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA

Received 1 March 2007 ,Revised 3 April 2007 ,Accepted 29 June 2007.

References 

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  3. Schein RM, Hazday N, Pena M, Ruben BH, Sprung CL. Clinical antecedents to in-hospital cardiopulmonary arrest. Chest. 1990;98:1388–1392
  4. Institute for Healthcare Improvement. Establish a rapid response team. [cited 2006 November 16] http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/EstablishaRapidResponseTeam.htm
  5. American College of Obstetricians and Gynecologists Committee on Patient Safety and Quality Improvement. American College of Obstetricians and Gynecologists committee opinion 353: medical emergency preparedness. Obstet Gynecol. 2006;108:1597–1599
  6. Devita MA, Bellomo R, Hillman K, et al. Findings of the first consensus conference on medical emergency teams. Crit Care Med. 2006;34:2463–2478
  7. Tibballs J, Kinney S, Duke T, Oakley E, Hennessy M. Reduction of paediatric in-patient cardiac arrest and death with a medical emergency team: preliminary results. Arch Dis Child. 2005;90:1148–1152
  8. DeVita MA, Braithwaite RS, Mahidhara R, Stuart S, Foraida M, Simmons RL. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13:251–254
  9. Buist MD, Moore GE, Bernard SA, Waxman BP, Anderson JN, Nguyen TV. Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study. BMJ. 2002;324:387–390
  10. Bellomo R, Goldsmith D, Uchino S, et al. A prospective before-and-after trial of a medical emergency team. Med J Aust. 2003;179:283–287
  11. Foraida MI, DeVita MA, Braithwaite RS, Stuart SA, Brooks MM, Simmons RL. Improving the utilization of medical crisis teams (Condition C) at an urban tertiary care hospital. J Crit Care. 2003;18:87–94
  12. DeVita MA, Schaefer J, Lutz J, Wang H, Dongilli T. Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator. Qual Saf Health Care. 2005;14:326–331
  13. Mann S, Pratt S, Gluck P, et al. Assessing quality in obstetrical care: development of standardized measures. Joint Commission Journal on Quality and Patient Safety. 2006;32:497–505
  14. Jones D, Bates S, Warrillow S, et al. Effect of an education programme on the utilization of a medical emergency team in a teaching hospital. Intern Med J. 2006;36:231–236
  15. Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097

 Cite this article as: Gosman GG, Baldisseri MR, Stein KL, et al. Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experience. Am J Obstet Gynecol 2008;198:367.e1-367.e7.

PII: S0002-9378(07)00849-6

doi: 10.1016/j.ajog.2007.06.072

American Journal of Obstetrics & Gynecology
Volume 198, Issue 4 , Pages 367.e1-367.e7 , April 2008

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