“…However, are only effective when activated and nurses often fail to call for help when necessary (Astroth, Woith, Stapleton, Degitz, & Jenkins, 2013). Delay in RRS activation is associated with increased mortality and morbidity (Barwise et al, 2016;Boniatti et al, 2014;Chen et al, 2015;Gupta et al, 2017) and prolonged deterioration can increase 30day mortality four-fold (Henriksen, Brabrand, & Lassen, 2014). A number of early RRS studies displayed success in reducing mortality, adverse events, cardiopulmonary arrests, and post-surgical length of hospital stay (Bellomo et al, 2004;Buist, Bernard, Nguyen, Moore, & Anderson, 2002;DeVita et al 2004).…”