276: THE EFFECT OF A RAPID RESPONSE SYSTEM ON POSTOPERATIVE PATIENTS: A NATIONWIDE DATABASE ANALYSIS

2016 ◽  
Vol 44 (12) ◽  
pp. 146-146
Author(s):  
Yoshiki Sento ◽  
Takaki Naito ◽  
Kazuaki Atagi ◽  
Shigeki Fujitani ◽  
Satoshi Osaga ◽  
...  
Keyword(s):  
Rapid Response ◽  
Rapid Response System ◽  
Database Analysis ◽  
Nationwide Database ◽  
Response System

scholarly journals The characteristics, types of intervention, and outcomes of postoperative patients who required rapid response system intervention: a nationwide database analysis

2021 ◽  
Author(s):  
Yoshiki Sento ◽  
◽  
Masayasu Arai ◽  
Yuji Yamamori ◽  
Shinsuke Fujiwara ◽  
...  
Keyword(s):  
Postoperative Management ◽  
Rapid Response ◽  
Rapid Response System ◽  
Low Oxygen ◽  
Hospital Emergency ◽  
Database Analysis ◽  
Fluid Bolus ◽  
Serious Adverse Events ◽  
Response System ◽  
General Wards

Abstract Purpose Improving the safety of general wards is a key to reducing serious adverse events in the postoperative period. We investigated the characteristics, treatment, and outcomes of postoperative patients managed by a rapid response system (RRS) in Japan to improve postoperative management. Methods This retrospective study analyzed cases requiring RRS intervention that were included in the In-Hospital Emergency Registry in Japan. We analyzed data reported by 34 Japanese hospitals between January 2014 and March 2018, mainly focusing on postoperative patients for whom the RRS was activated within 7 days of surgery. Non-postoperative patients, for whom the RRS was activated in all other settings, were used for comparison as necessary. Results There were 609 (12.7%) postoperative patients among the total patients in the registry. The major criteria were staff concerns (30.2%) and low oxygen saturation (29.7%). Hypotension, tachycardia, and inability to contact physicians were observed as triggers significantly more frequently in postoperative patients when compared with non-postoperative patients. Among RRS activations within 7 days of surgery, 68.9% of activations occurred within postoperative day 3. The ordering of tests (46.8%) and fluid bolus (34.6%) were major interventions that were performed significantly more frequently in postoperative patients when compared with non-postoperative patients. The rate of RRS activations resulting in ICU care was 32.8%. The mortality rate at 1 month was 16.2%. Conclusion Approximately, 70% of the RRS activations occurred within postoperative day 3. Circulatory problems were a more frequent cause of RRS activation in the postoperative group than in the non-postoperative group.

scholarly journals Does implementing a rapid response system decrease the number of in-hospital cardiac arrests?

Critical Care ◽  
2011 ◽  
Vol 15 (S1) ◽  
Author(s):  
R So ◽  
L Te Velde ◽  
H Ponssen ◽  
M Frank ◽  
S Hendriks ◽  
...  
Keyword(s):  
Rapid Response ◽  
Rapid Response System ◽  
Response System

scholarly journals Rapid Response System Improves Postoperative Safety

2016 ◽  
Vol 36 (1) ◽  
pp. 30-34
Author(s):  
Yoshiki SENTO ◽  
Shigeki FUJITANI ◽  
Kazuaki ATAGI ◽  
Kazuya SOBUE
Keyword(s):  
Rapid Response ◽  
Rapid Response System ◽  
Response System

scholarly journals Clinical Observation Research on the Application of Rapid Response System in General Wards

2021 ◽  
Author(s):  
Yan Wang ◽  
Haiyan Wu ◽  
Chang Liu ◽  
Suping Ran ◽  
Baoyu Wang
Keyword(s):  
Mechanical Ventilation ◽  
Clinical Observation ◽  
Blood Purification ◽  
Rapid Response ◽  
Call Rate ◽  
Vasoactive Drugs ◽  
Rapid Response System ◽  
Organ Function ◽  
Response System ◽  
General Wards

Abstract Objective Observe and analyze the effect of the criticall rapid response system in general wards.Methods Analyze the data of CROT cases initiated in 2016-2019, and statistically analyze the reasons for the initiation, on-site treatment, the outcomes of patients, and the number of organ function support of patients transferred to ICU. Results A total of 312 cases were initiated in 43 months. The top three reasons for initiation were: unconsciousness (29.79%), respiratory distress (19.17%), and hypotension (18.60%). The effective call rate was 91.99%, and only 68.27% were transferred to ICU. Mechanical ventilation (89.67%), blood purification (85.92%), and vasoactive drugs (82.16%) were applied in ICU. Conclusions The critical rapid response system can guarantee the safety of inpatients in general wards, but the activatiaon characteristics are worthy of further discussion.

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