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Features of the triggering of the yellow code and factors associated with the occurrence of adverse events

OBJECTIVE: to analyze the characteristics of the activation of the yellow code in wards and identify the factors associated with adverse events after the Rapid Response Team. METHODS: a cross-sectional study with retrospective analysis of medical records of adults admitted to medical or surgical cli...

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Autores principales: dos Santos, Pollyana Karine Lopes, Oliveira, Gabriella Novelli, Sichieri, Karina, da Cruz, Diná de Almeida Lopes Monteiro, Nogueira, Lilia de Souza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Brasileira de Enfermagem 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021946/
https://www.ncbi.nlm.nih.gov/pubmed/36946812
http://dx.doi.org/10.1590/0034-7167-2022-0181
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author dos Santos, Pollyana Karine Lopes
Oliveira, Gabriella Novelli
Sichieri, Karina
da Cruz, Diná de Almeida Lopes Monteiro
Nogueira, Lilia de Souza
author_facet dos Santos, Pollyana Karine Lopes
Oliveira, Gabriella Novelli
Sichieri, Karina
da Cruz, Diná de Almeida Lopes Monteiro
Nogueira, Lilia de Souza
author_sort dos Santos, Pollyana Karine Lopes
collection PubMed
description OBJECTIVE: to analyze the characteristics of the activation of the yellow code in wards and identify the factors associated with adverse events after the Rapid Response Team. METHODS: a cross-sectional study with retrospective analysis of medical records of adults admitted to medical or surgical clinic wards of the University Hospital of São Paulo. RESULTS: among the 91 patients, the most frequent signs of triggers (n=107) were peripheral oxygen saturation of less than 90% (40.2%) and hypotension (30.8%). Regarding the associated factors the research identified each minute of attendance of the Rapid Response Team in the wards increased by 1.2% odds of adverse events (twenty-four unplanned admission in the ICU and one cardiac arrest) in the sample (p=0.014). CONCLUSIONS: decreased oxygen saturation and hypotension were the main reasons for the triggering, and the length of care was associated with the frequency of adverse events.
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spelling pubmed-100219462023-03-18 Features of the triggering of the yellow code and factors associated with the occurrence of adverse events dos Santos, Pollyana Karine Lopes Oliveira, Gabriella Novelli Sichieri, Karina da Cruz, Diná de Almeida Lopes Monteiro Nogueira, Lilia de Souza Rev Bras Enferm Original Article OBJECTIVE: to analyze the characteristics of the activation of the yellow code in wards and identify the factors associated with adverse events after the Rapid Response Team. METHODS: a cross-sectional study with retrospective analysis of medical records of adults admitted to medical or surgical clinic wards of the University Hospital of São Paulo. RESULTS: among the 91 patients, the most frequent signs of triggers (n=107) were peripheral oxygen saturation of less than 90% (40.2%) and hypotension (30.8%). Regarding the associated factors the research identified each minute of attendance of the Rapid Response Team in the wards increased by 1.2% odds of adverse events (twenty-four unplanned admission in the ICU and one cardiac arrest) in the sample (p=0.014). CONCLUSIONS: decreased oxygen saturation and hypotension were the main reasons for the triggering, and the length of care was associated with the frequency of adverse events. Associação Brasileira de Enfermagem 2023-03-17 /pmc/articles/PMC10021946/ /pubmed/36946812 http://dx.doi.org/10.1590/0034-7167-2022-0181 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
dos Santos, Pollyana Karine Lopes
Oliveira, Gabriella Novelli
Sichieri, Karina
da Cruz, Diná de Almeida Lopes Monteiro
Nogueira, Lilia de Souza
Features of the triggering of the yellow code and factors associated with the occurrence of adverse events
title Features of the triggering of the yellow code and factors associated with the occurrence of adverse events
title_full Features of the triggering of the yellow code and factors associated with the occurrence of adverse events
title_fullStr Features of the triggering of the yellow code and factors associated with the occurrence of adverse events
title_full_unstemmed Features of the triggering of the yellow code and factors associated with the occurrence of adverse events
title_short Features of the triggering of the yellow code and factors associated with the occurrence of adverse events
title_sort features of the triggering of the yellow code and factors associated with the occurrence of adverse events
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021946/
https://www.ncbi.nlm.nih.gov/pubmed/36946812
http://dx.doi.org/10.1590/0034-7167-2022-0181
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