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. 2015 Oct 6;25(5):303–310. doi: 10.1136/bmjqs-2015-004372

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Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/

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Key characteristics and findings of the MERIT study. This cluster randomised controlled trial (RCT) investigated the effectiveness of introducing a medical emergency team (MET) that could be summoned when non-terminal hospital patients showed signs of physiological instability and deterioration. Staff in the intervention hospitals were trained over 4-months to identify and respond to patients requiring the attention of the team. The primary outcome was the combined incidence of cardiac arrests without a pre-existing not-for-resuscitation order. unplanned intensive care unit admissions and unexpected deaths measured before and after implementation.