??????4?????????????(RRS)???????

1
??????4?????????????(RRS)???????
R
R
S

• ?????????? ????
• ????,????,????,?????,
• ????,????,???

2
??????? COI ?? ????? ?? ??
?????????????COI??????.
3
??

• ?????????,??????????,????RRS(Rapid Response
  System)????
• ???????.
• ??????4???????????,???????.

4
?????

• ?????????????
• ??2010?6?1?2014?8?31?(4?3??)
• ??????????????
• ????????RRS????????
• ????
• RRS???????,???????????????????.

5
??????????
???????????,??Medical Emergency
Team??????????????
6
RRS???
?????? ????
???
???????
??
??
?????
?????????
??
??
(???????????)
RRS???? ???
MET(medical emergency team) ??????????1? ?????1
???
RRS??
RRS??
RRS???? ???
??
7
??
8
????

• lt2010?6?2014?8?gt
• N138
• ???? 62.8?
• S.D. 19.1
• ??
• ?? 69?(50)
• ?? 69?(50)

9
???RRS????(2010?6?-2014?8?)
??2.7?/?,??7?/?
10
1000?????RRS???
2010/6- 2011/6- 2012/6- 2013/6- 2014/6-8
1000?????RRS???(?) 7.29 7.48 13.19 9.57 17.13
1000????????(?) 3.11 2.86 3.12 2.98 2.58
RRS??????????????(P0.973)
mn Chi square
test???
Successful rapid-response systems consistently
deliver a high response dose (gt25 calls per
1000 admissions).
Jones DA, DeVita MA, Bellomo R Rapid-response
teams. N Engl J Med 2011 365139146
11
????
8
??????????????????
12
??????
8
???????????????,?????????(P0.0018)
mn Chi square test???
13
????(2010?6?-2014?8?)
30
7.3
4.6
???CPA? 27
14
MET????(2010?6?-2014?8?)
15
???
16
??

?? ???CPA????????,1????????????
17
??

• 4????????????????????,
• RRS????????????????????
• ???????.