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

Abstract

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. (www.actabiomedica.it).

Original languageEnglish
Pages (from-to)9-18
Number of pages10
JournalActa Biomedica
Volume91
DOIs
Publication statusPublished - Jan 1 2020

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

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