What’s new with rapid response systems?

Jones, Daryl; Lippert, Anne; DeVita, Michael A.; Hillman, Kenneth

doi:10.1007/s00134-014-3567-2

Cited by 24 publications

(15 citation statements)

References 12 publications

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“…With increasing publications showing effectiveness of the RRT model, there has been a shift in the focus of the research priorities in this area [1]. Current unanswered questions include the following: (1) what are the factors that lead to a patient needing an RRT call, and can they be predicted or even prevented?…”

Section: What Are the Research Priorities In The Area Of Rrss?mentioning

confidence: 99%

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Rapid response teams improve outcomes: yes

2016

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Section: What Are the Research Priorities In The Area Of Rrss?mentioning

confidence: 99%

“…Current unanswered questions include the following: (1) what are the factors that lead to a patient needing an RRT call, and can they be predicted or even prevented? (2) what is the ideal composition of the RRT?…”

Section: What Are the Research Priorities In The Area Of Rrss?mentioning

confidence: 99%

Rapid response teams improve outcomes: yes

2016

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“…La maggior parte dei sistemi di track and trigger ha una sensibilità bassa, un valore predittivo positivo basso e una specificità alta [29]; tuttavia, i sistemi di track and trigger si dimostrano efficaci nel migliorare il tasso di risposta alla chiamata [36]. La review sistematica di Gao e colleghi [37], del 2007, valuta l'accuratezza e la precisione dei sistemi di track and trigger a parametro singolo, a punteggio aggregato e dei sistemi combinati, nell'identificare i pazienti a rischio di deterioramento clinico. Lo studio indica la mancanza di evidenze sull'accuratezza dei sistemi di track and trigger, una sensibilità bassa e l'impossibilità nell'identificare il sistema migliore.…”

Section: Attivazione Della Risposta: Il Braccio Efferenteunclassified

In-hospital emergency: how to identify the patient in crisis

Difonzo

Bisceglie

2015

CMI

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In-hospital emergency is a system designed to ensure an adequate response, in rapidity and appropriateness, to cardiac arrests and other medical emergencies, in general wards and in not-medical areas of the hospital. Early treatment of unstable patients, hospitalized in non-intensive care unit, reduces the incidence of serious adverse events such as unexpected cardiac arrest, unplanned intensive care admissions, and unexpected death.The Rapid Response System (RRS) describes the entire process of in-hospital emergency planning. The afferent limb of the RRS is the way, managed by the ward staff, doctors and nurses, to identify the patient in crisis, at risk of physiological deterioration, and enable an appropriate response. The afferent limb includes the monitoring, the recognition of patient’s deterioration and the activation of the emergency team.The aim of this study is to describe the dynamics of the afferent limb, focusing on the evidence about early detection of the clinical deterioration in a general ward.

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“…Regardless of the debate over the efficacy of the RRS, they have been widely adopted [1]. However for the RRS to be effective it needs to be utilized appropriately [2,3].…”

Section: Introductionmentioning

confidence: 99%

Getting more efficient Rapid Response System (RRS) utilization by the use of a general ward based deteriorating patient contract

et al. 2015

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Objective: To determine if a general ward-based plan to address the deteriorating patient could improve RRS utilization over and above a mandatory organizational policy and procedure. Design: A two stage methodology: First, engagement with ward providers and users of the RRS to generate ward-based interventions; Second, measurement of the incidence of missed/delayed RRS calls, RRS calls, cardiac arrests and unplanned intensive care unit admission both prior to the intervention and 12 months post implementation. Setting: Monash Health is a comprehensive healthcare network with 570 adult in-patient beds across four metropolitan teaching hospitals in the south-eastern sector of Melbourne. Results:The interventions selected for intervention were: (1) a ward based agreement on how to best locally optimize management of the deteriorating patient,(2) an improved communication protocol, and (3) a revision of the education program for staff. Post intervention the aggregate rate of missed/delayed RRS calls reduced across all wards (1.05 to 0.34 per 1000 bed days, p = 0.049). This occurred without a change in the rate of RRS activation (7.98 per 1000 bed days pre-intervention versus 7.85 bed days post-intervention). The incidence of cardiac arrests or unplanned interventions did not change post intervention. Conclusions: Engagement of the users of a system like the RRS activation protocol can improve compliance rates with protocols when the users have ownership of the process.

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What’s new with rapid response systems?

Cited by 24 publications

References 12 publications

Rapid response teams improve outcomes: yes

Rapid response teams improve outcomes: yes

In-hospital emergency: how to identify the patient in crisis

Getting more efficient Rapid Response System (RRS) utilization by the use of a general ward based deteriorating patient contract

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