The impact of implementing a rapid response system: A comparison of cardiopulmonary arrests and mortality among four teaching hospitals in Australia

Factors affecting the quality of cardiopulmonary resuscitation in inpatient units: perception of nurses

“…This finding may be associated to several factors: nearly half of the professionals in the sample had more than ten years of experience in the nursing field; the institution conducts continuous training, enabling professionals to perform CPR with quality; approximately 90.0% of nurses had the ACLS course certification; and the RRT is implemented in the hospital, assisting clinical emergencies and CPA in medical and surgical wards with greater agility, 24 hours a day. Some studies show that the care of patients with worsening clinical picture and/or CPA provided by the RRT has generated great benefits, such as reducing hospital mortality rates, reducing the severity of patients admitted to the Intensive Care Unit after CPR, and reduced number of patients with clinical instability evolving for CPA (22)(23) .…”

Part 8: Education, Implementation, and Teams

“…218 The other study demonstrated a significant difference between control wards and intervention wards (introduction of a critical care outreach service) with all patients (OR, 0.70; 95% CI, 0.50-0.97), and matched randomized patients (OR, 0.52; 95% CI, 0.32-0.85). 219 Of the 33 nonrandomized studies reporting mortality, no studies reported statistically significant worse outcomes for the intervention; 15 studies with no adjustment demonstrated no significant improvement [220][221][222][223][224][225][226][227][228][229][230][231][232][233][234] ; 6 studies with no adjustment demonstrated significant improvement [235][236][237][238][239][240] ; 1 study with no adjustment reported on rates, which improved with MET, but did not report on significance 241 ; 1 study with no adjustment demonstrated significant improvement for medical patients but not surgical patients (combined significance not reported) 242 ; 4 studies with adjustment demonstrated significant improvement both before and after adjustment 243,244,250,252 ; 2 studies with adjustment demonstrated no significant improvement both before and after adjustment 245,246 ; 2 studies with adjustment demonstrated significant improvement before adjustment but not after adjustment 247,251 ; 1 study with adjustment demonstrated significant improvement before adjustment but not after adjustment 27 ; 1 study that reported on both unexpected mortality and overall mortality showed significant improvement both before and after adjustment for unexpected mortality but no significant improvement both before and after adj...…”

Resuscitation highlights in 2014

“…13 The findings add to the weight of evidence that implementation of a RRS is associated with a significant reduction in the rate of inhospital cardiac arrest (IHCA), IHCA-related mortality and overall hospital mortality.…”