Methods: We retrospectively reviewed electronic medical records of all the RR events that occurred between July and December 2015 at St. Luke’s Hospital. We examined the changes in clinical conditions, vital signs, and laboratory and imaging study results of 24 hours preceding the onset of RR event. We used clinical criteria to identify if any of these RR events were potentially preventable.
Results: A total of 139 RR events occurred during the study period. The most common cause for a RR was altered mental status. Forty-three (31%) of these RR occurred within 24 hours of arrival from the ED. Thirty-six (26%) RR events occurred between 7 and 11 am and 40 (29%) occurred between 3 and 7 pm, coinciding with the shift changes of the health care professionals. Thirty-four (24%) RR events were considered potentially preventable, and were frequently related to unaddressed abnormal vital signs and in-hospital narcotic use.
Conclusions: Our study reveals that 1 in 4 RR events are potentially preventable. RR were also correlated with shift changes and tended to occur within 24 hours after admission from the ER. These findings will help us to identify and act on early warning signs in a timely fashion which will lead to resource conservation, and reduce patient morbidity and mortality.
To cite this abstract:Leung, E; Al-Abboud, O; Song, S; Shams, S; Patlolla, K; Qaiyum, O; Hawatmeh, S; English, J; Balis, F; Kawsar, H . MISSING THE YELLOW FLAGS: DOES A TARDY RESPONSE TRIGGER THE RAPID RESPONSE?. Abstract published at Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev. Abstract 86. Journal of Hospital Medicine. 2017; 12 (suppl 2). https://www.shmabstracts.com/abstract/missing-the-yellow-flags-does-a-tardy-response-trigger-the-rapid-response/. Accessed April 3, 2020.