scholarly journals A randomized trial of real-time automated clinical deterioration alerts sent to a rapid response team

2014 ◽  
Vol 9 (7) ◽  
pp. 424-429 ◽  
Author(s):  
Marin H. Kollef ◽  
Yixin Chen ◽  
Kevin Heard ◽  
Gina N. LaRossa ◽  
Chenyang Lu ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Real Time ◽  
Rapid Response Team ◽  
Rapid Response ◽  
Clinical Deterioration ◽  
Response Team

Abstract 288: Rapid Response Team Implementation Associated with Reductions in In-hospital Mortality Rate and Hospitalization Costs: A Retrospective Analysis

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_4) ◽  
Author(s):  
Jacob Sessim Filho ◽  
Renato P Azevedo ◽  
Antonildes N Assuncao ◽  
Marcia M Sa ◽  
Felipe D Silva ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Hospital Mortality ◽  
Statistical Power ◽  
Early Recognition ◽  
Rapid Response Team ◽  
Rapid Response ◽  
Clinical Deterioration ◽  
Medical Database ◽  
Hospitalization Costs ◽  
Response Team

Introduction: Early recognition of clinical deterioration in inpatient subjects seems to be one of the main factors associated with prevention of in-hospital severe adverse events occurrence. Previous studies failed to demonstrate that the implementation of a rapid response team (RRT) could reduce in-hospital mortality rate. Hypothesis: Could a RRT implementation reduces in-hospital mortality and/or hospitalizations costs in a private general hospital in Brazil? Methods: This is a retrospective cohort built from data of electronic medical database of consecutive adult inpatients admitted to general wards who had to be transferred to an ICU after an acute clinical deterioration between May 1st, 2012 and June 30th, 2016. Subjects were divided into two groups as follows: group 1 (G1) with those admitted to ICU before RRT implementation on June 1st, 2014 and group 2 (G2) with the ones admitted to ICU after the implementation. All patients in G2 received care by the RRT before ICU admittance. In cases in which a patient had more than one hospital admission, only the first admittance was used for analyses. Results: Patients data are shown in table 1.Outcome data are shown in table 2. Conclusions: From these data, it is possible to infer that this RRT implementation at this hospital was associated with improvement in clinical outcomes of inpatients who needed an ICU admittance after an acute clinical deterioration, as well as a significant reduction of their hospitalization costs. These data reinforce the hypotheses that MERIT study was underpowered. Further multicenter randomized trials, with appropriate statistical power, shall be proposed to address these questions.

scholarly journals Implementation of a Formal Debriefing Program After Pediatric Rapid Response Team Activations

2018 ◽  
Vol 10 (2) ◽  
pp. 203-208 ◽  
Author(s):  
Linda Aponte-Patel ◽  
Arash Salavitabar ◽  
Pamela Fazzio ◽  
Andrew S. Geneslaw ◽  
Pamela Good ◽  
...  
Keyword(s):  
Intensive Care ◽  
Real Time ◽  
Health Professionals ◽  
Tertiary Care ◽  
Rapid Response Team ◽  
Rapid Response ◽  
Staff Attitudes ◽  
Learning Opportunity ◽  
Respiratory Therapists ◽  
Response Team

ABSTRACT Background  Debriefing after pediatric rapid response team activations (RRT-As) in a tertiary care children's hospital was identified to occur only sporadically. The lack of routine debriefing after RRT-As was identified as a missed learning opportunity. Objective  We implemented a formal debriefing program and assessed staff attitudes toward and experiences with debriefing after pediatric RRT-As. Methods  Real-time feedback for pediatrics residents captured clinical and debriefing data for each RRT-A from July 2014 to June 2016. The debriefing on physiology, team communication, and anticipation of clinical deterioration was introduced in July 2015. To assess debriefing perceptions, residents, intensive care fellows, nurses, and respiratory therapists participated in anonymous preintervention and postintervention surveys. We also developed a workshop to teach residents how to lead debriefing. Results  Debriefing after RRT-As increased from 26% preintervention to 46% postintervention (P < .0001). A total of 43 of 76 pediatrics residents (57%) attended at least 1 of 4 debriefing workshops. Both preintervention and postintervention, more than 80% (70 of 78 preintervention and 54 of 65 postintervention) of health professionals surveyed strongly agreed or agreed that there was a benefit to debriefing after RRT-As. Postintervention, 65% (26 of 40) of respondents strongly agreed or agreed that debriefing improved their understanding of the RRT-A process. The rate of debriefing was sustained at 46% (6 months after the end of the study period). Conclusions  Debriefing frequency after pediatric RRT-As significantly increased with the introduction of a formal debriefing program. A majority of health professionals and trainees reported this practice was a valuable experience.

Mise en place et organisation d’une équipe médicale mobile de réponse précoce aux urgences intra-hospitalières (Rapid Response Team)

2020 ◽  
Author(s):  
Boris Jung ◽  
Gerald Chanques ◽  
Samir Jaber ◽  
Kada Klouche
Keyword(s):  
Rapid Response Team ◽  
Rapid Response ◽  
Prise En Charge ◽  
Response Team

La mise en place d’une Rapid Response Team a pour objectif la mise en place d’une structure de réponse hospitalièrepour la prise en charge des urgences vitales et surtout une réponse précoce à la dégradation clinique des patientshospitalisés avant que l’urgence vitale ne survienne. Nous discutons dans ce manuscrit le rationnel et le niveau depreuve motivant la mise en place d’une Rapid Response Team ainsi que les freins qui doivent être surmontés pour lesuccès de cette mise en place.

Etiology and Timing of Postoperative Rapid Response Team Activations

2021 ◽  
Vol 45 (8) ◽  
Author(s):  
Jeremy P. Walco ◽  
Dorothee A. Mueller ◽  
Sameer Lakha ◽  
Liza M. Weavind ◽  
Jacob C. Clifton ◽  
...  
Keyword(s):  
Rapid Response Team ◽  
Rapid Response ◽  
Response Team
Sign in / Sign up

Export Citation Format

Share Document