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A greater understanding of these events, with a focus on the recognition and management of sepsis, could lead to quality improvement interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective observational review of general and subspecialty medical admissions triggering a MET call within 24 h of admission at a quaternary Australian hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>2648 MET calls occurred (47.9\/1000 admissions), 527 (20% of total MET events, 9.5\/1000 admissions) within 24 h of admission, with the trigger more likely to be hypotension (odds ratio: 1.5, <jats:italic>P<\/jats:italic> =\u20090.0013). There were 263 MET calls to 217 individual medical patients within 24 h of admission, of which 84 (38.7%) were admitted with suspected infection, 69% of which fulfilled sepsis criteria. Of these, 36.2% received antimicrobial therapy within the recommended timeframe and 39.6% received antibiotics in line with hospital guidelines. Sepsis was initially missed in 11% of patients. Afferent limb failure occurred in 29% of patients with 40.5% experiencing a failure of the ward\u2010based response to deterioration prior to MET call. Median hospital length of stay was increased in patients admitted with suspected infection (7 vs 5\u2009days, <jats:italic>P<\/jats:italic> =\u20090.015) and in those with sepsis not receiving antimicrobial therapy within guideline timeframes (9 vs 4\u2009days, <jats:italic>P<\/jats:italic> =\u20090.017).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is a significant opportunity to improve care for patients who trigger a MET within 24 h of admission. This study supports the implementation of a hospital sepsis management guideline.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.16337","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T11:29:02Z","timestamp":1706614142000},"page":"961-969","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Medical Emergency Team call within 24 h of medical admission with a focus on sepsis: a retrospective review"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0092-8216","authenticated-orcid":false,"given":"James","family":"Nolan","sequence":"first","affiliation":[{"name":"Internal Medicine and Aged Care The Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"School of Medicine University of Queensland  Brisbane Queensland 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