scholarly journals Implementation of a rapid response team in a large nonprofit Brazilian hospital: improving the quality of emergency care through Plan-Do-Study-Act

Author(s):  
Meire Cavalieri Almeida ◽  
Margareth Crisóstomo Portela ◽  
Elenir Pereira Paiva ◽  
Raquel Rodrigues Guimarães ◽  
Wilson Coelho Pereira Neto ◽  
...  
2019 ◽  
Vol 7 (31) ◽  
pp. 8-12
Author(s):  
Amanda Venable

Rapid response teams (RRTs) became embedded in US hospitals following the launch of the 100,000Lives Campaign in 2004 by the Institute for HealthcareImprovement and the introduction of RRTs as one ofsix initiatives to improve the quality of patient care.The use of RRTs also allows hospitals to meet a JointCommission requirement to implement a mechanismthat enables staff members to obtain help from expertswhen their patients’ conditions are deteriorating.Thisarticle reviews performance data from an AcademicMedical Center and recent rapid response literature.


2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 228-234
Author(s):  
Ágatha Stahl de Queiroz ◽  
Lilia de Souza Nogueira

ABSTRACT Objective: verify the perception nurses have of the quality of the Rapid Response Team in the structure, process and outcome dimensions, as well as the influence of time of practice in the institution and the work shift of the professionals on this perception. Method: cross-sectional study, conducted between September and October 2016, with questionnaires to 55 nurses working in inpatient care units or members of the Rapid Response Team. The positive index and inferential tests were used in the data analysis. Results: a satisfactory positive index was identified in 25 of the 37 items analyzed, and the main frailties occurred in the process dimension. There was discrepancy in the perception of professionals with different length of time in the institution about medical consumables (p=0.05) and request for the Rapid Response Team (p=0.03), besides the work shift and communication among the members involved (p=0.02). Conclusion: the nurses' perception of the quality of the Rapid Response Team is satisfactory, especially in the areas of structure and outcome.


Author(s):  
Carol Curio Scholle

The Rapid Response System (RRS) is organized into four basic components. These components include an activation limb, a response limb, a quality assurance infrastructure, and an administrative component. These components remain consistent despite campus size, physical layout, patient population, available technical resources, and personnel. Oversight of the RRS is provided by the patient safety, risk management experts, as well as clinical experts to maintain high quality of care delivered to acutely ill patients. Administrative support in the development of policy, allocation of resources, and communicating a strong and clear message regarding the mission and vision of the RRS is invaluable. In this chapter, we review each element of the RRS.


2020 ◽  
Vol 15 (2) ◽  
pp. 215-223
Author(s):  
Mahender Yennaram ◽  

Prolonged length of stay (LOS) is a significant financial burden to the hospitals. Although Physiotherapists (PT) are expanding their role in different areas of health care, including Emergency Care (EC), the impact of late shift PT input on LOS is not yet known. The objective was to determine the impact of the late shift Rapid Response Team (RRT) input on LOS and discharge destination. Patients who are referred to the RRT Physiotherapy/Occupational Therapy (PT/OT) include those with musculoskeletal conditions, cardio-respiratory and neurological problems. The therapists establish patient’s premorbid mobility level, social status and complete mobility and balance assessments. The outcome measures considered for this study was LOS and discharge destination. A total of 131 patients were assessed during 2016/2017. Out of 131, 72 patients were discharged on the day of treatment. Out of 138 patients referred during 2017/2018, 79 patients were discharged on the day of assessment. Most patients had significant comorbidities when admitted as the number of comorbidities is approximately four conditions for both durations. The discharge destination included from patients own home, rehabilitation hospital, long stay wardand interim placementfrom ward and this has saved 151 bed days in the hospital. Late shift RRT service in the ED resulted in reduced LOS and improved discharge destination.


Author(s):  
Boris Jung ◽  
Gerald Chanques ◽  
Samir Jaber ◽  
Kada Klouche

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.


2021 ◽  
Vol 45 (8) ◽  
Author(s):  
Jeremy P. Walco ◽  
Dorothee A. Mueller ◽  
Sameer Lakha ◽  
Liza M. Weavind ◽  
Jacob C. Clifton ◽  
...  

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