title: [Early recognition of deteriorating patient program in department of cardiac surgery].
abstract: OBJECTIVE
  To explore the application and the effect of early recognition of deteriorating patient program in department of cardiac surgery.
  
  
  METHODS
  We used the early recognition of deteriorating patient program in the cardiac surgery groups, including cardiac surgeons, nurses in ward, ICU and operation rooms of the cardiac surgery department, and compared the satisfaction of nurses and doctors, handover time, handover score of critical patients, and rate of unplanned ICU admission before and after the intervention.
  
  
  RESULTS
  After using the early recognition of deteriorating patient program, the satisfaction of doctors and nurses was increased, the handover time was lowered 0.56 min/time (t=2.22, P<0.05), the handover score of critical patients enhanced by 19.59 points (t=30.57, P<0.001), the rate of unplanned ICU readmission after the operation reduced by 4.8% (χ2=4.14, P<0.05).
  
  
  CONCLUSIONS
  Early recognition of deteriorating patient program can improve the safety of cardiac patients, enhance the self-confidence of nurses and work efficiency.
authors.affiliation: Department of Cardiothoracic Surgery, Third Xiangya Hospital, Central South University, Changsha 410013, China.
authors.forename: Chunxiang
authors.initials: C
authors.lastname: Qin
authors.forename: Ping
authors.initials: P
authors.lastname: Mao
authors.forename: Peng
authors.initials: P
authors.lastname: Xiao
authors.forename: Sainan
authors.initials: S
authors.lastname: Zeng
authors.forename: Jianfei
authors.initials: J
authors.lastname: Xie
authors.forename: Siqing
authors.initials: S
authors.lastname: Ding
mesh_terms: D016507:Cardiology Service, Hospital / Q000458:organization & administration*; D016638:Critical Illness; D006801:Humans; D007362:Intensive Care Units; D010043:Outcome and Process Assessment, Health Care; D062209:Patient Handoff; D013503:Surgery Department, Hospital / Q000458:organization & administration*