{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:14:29Z","timestamp":1740140069838,"version":"3.37.3"},"reference-count":11,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T00:00:00Z","timestamp":1507852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Untreated pain or overly aggressive pain management may lead to adverse physiologic consequences and activation of the hospital's Rapid Response Team. This study is a quality improvement initiative that attempts to identify patient demographics and patterns associated with Rapid Response Team consultations for patients on the acute pain service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of all patients on the acute pain service from February 2011 until June 2015 was cross\u2010referenced with inpatients requiring consultation from the Rapid Response Team. Two independent practitioners reviewed electronic medical records to determine which events were likely associated with pain management interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over a 4\u2010year period, 4872 patients were admitted to the acute pain service of whom 135 unique patients required Rapid Response Team consults. There were 159 unique Rapid Response Team activations among 6538 unique acute pain service consults. A subset of 27 pain management\u2010related Rapid Response Team consultations was identified. The largest percentage of patients on the acute pain service were adolescents aged 12\u201017 (36%). Compared to this age group, the odds of Rapid Response Team activation were higher among infants &lt;1\u00a0year old (odds ratio\u00a0=\u00a02.85; 95% confidence interval: 1.59, 5.10; <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a0.001) and adults over 18\u00a0years (odds ratio\u00a0=\u00a01.68; 95% confidence interval: 1.01, 2.80; <jats:italic>P\u00a0<\/jats:italic>=\u00a0.046).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Identifying demographics and etiologies of acute pain service patients requiring Rapid Response Team consultations may help to identify patients at risk for clinical decompensation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.13237","type":"journal-article","created":{"date-parts":[[2017,10,14]],"date-time":"2017-10-14T04:30:26Z","timestamp":1507955426000},"page":"1148-1154","source":"Crossref","is-referenced-by-count":1,"title":["Rapid Response Team activation for pediatric patients on the acute pain service"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3752-9023","authenticated-orcid":false,"given":"Maxwell","family":"Teets","sequence":"first","affiliation":[{"name":"Department of Anesthesiology New York University Langone Medical Center New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dmitry","family":"Tumin","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Pain Medicine Nationwide Children's Hospital Columbus USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hina","family":"Walia","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Pain Medicine Nationwide Children's Hospital Columbus USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenna","family":"Stevens","sequence":"additional","affiliation":[{"name":"Comprehensive Pain and Palliative Care Services Nationwide Children's Hospital Columbus USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Wrona","sequence":"additional","affiliation":[{"name":"Comprehensive Pain and Palliative Care Services Nationwide Children's Hospital Columbus USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Pain Medicine Nationwide Children's Hospital Columbus USA"},{"name":"Department of Anesthesiology &amp; Pain Medicine The Ohio State University College of Medicine Columbus USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarun","family":"Bhalla","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Pain Medicine Nationwide Children's Hospital Columbus USA"},{"name":"Department of Anesthesiology &amp; Pain Medicine The Ohio State University College of Medicine Columbus USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph D.","family":"Tobias","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology &amp; Pain Medicine Nationwide Children's Hospital Columbus USA"},{"name":"Department of Anesthesiology &amp; Pain Medicine The Ohio State University College of Medicine Columbus USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0885066615583794"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PCC.0000262947.72442.EA"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12874"},{"key":"e_1_2_8_5_1","unstructured":"The Joint Commission safe use of opioids in hospitals. 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