The medical emergency team in Italy: An overview of in-hospital emergencies response

Alessandro Galazzi, Nicola Maria Bonasera Vincenti, Gian Domenico Giusti, Matteo Brioni, Ileana Adamini, Dario Laquintana, Giuseppe Ristagno, Giacomo Grasselli

Research output: Contribution to journalArticlepeer-review


Background and aim: Medical Emergency Team (MET), implemented in many hospitals world-wide, aims to improve the safety of in-hospital patients whose condition is deteriorating. This study describes MET presence and organization in the Italian National Healthcare System Hospitals. Methods: A national survey with an online questionnaire was performed. The questionnaire, created ad hoc, was sent by e-mail to the nursing coordinators and MET referents of the Hospitals affiliated to the Italian National Healthcare System with an Anesthesia and Intensive Care service. Results: One hundred-ninety-seven hospitals were in-terviewed (36.2% of the whole national network). A dedicated MET, composed at least by an intensivist and a nurse, was present only in 118 cases (59.9%). The team was composed by a non-dedicated staff (67.8% of doctors, 69.5% of nurses) and a minimum shared standard of education for the nurse component was absent. One third of the estimated hospitals did not use a warning score for emergency call activation. Discussion and conclusion: This survey showed a heterogenous and often lacking organization of in-hospital emergency management in Italy. MET system needs to be implemented in terms of presence in the Italian hospitals, and standardized for personnel structure and training, and equipment availability. A broader study is necessary to compare our data with those of other European Countries to better identify the specific areas which need to be improved more promptly. (

Original languageEnglish
Pages (from-to)9-18
Number of pages10
JournalActa Biomedica
Publication statusPublished - Jan 1 2020


  • In-hospital emergency
  • Medical emergency team
  • Nurse
  • Rapid response system
  • Survey

ASJC Scopus subject areas

  • Medicine(all)


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