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"Rapid response teams"

Marcio Manozzo Boniatti
No abstract text is available yet for this article.
September 2016: Revista Brasileira de Terapia Intensiva
Shannon N Acker, Beth Wathen, Genie E Roosevelt, Lauren R S Hill, Anna Schubert, Jenny Reese, Denis D Bensard, Ann M Kulungowski
Introduction The rapid response team (RRT) is a multidisciplinary team who evaluates hospitalized patients for concerns of nonemergent clinical deterioration. RRT evaluations are mandatory for children whose Pediatric Early Warning System (PEWS) score (assessment of child's behavior, cardiovascular and respiratory status) is ≥4. We aimed to determine if there were differences in characteristics of RRT calls between children who were admitted primarily to either medical or surgical services. We hypothesized that RRT activations would be called for less severely ill children with lower PEWS score on surgical services compared with children admitted to a medical service...
October 5, 2016: European Journal of Pediatric Surgery
Marieke Zegers, Gijs Hesselink, Wytske Geense, Charles Vincent, Hub Wollersheim
OBJECTIVE: To provide an overview of effective interventions aimed at reducing rates of adverse events in hospitals. DESIGN: Systematic review of systematic reviews. DATA SOURCES: PubMed, CINAHL, PsycINFO, the Cochrane Library and EMBASE were searched for systematic reviews published until October 2015. STUDY SELECTION: English-language systematic reviews of interventions aimed at reducing adverse events in hospitals, including studies with an experimental design and reporting adverse event rates, were included...
2016: BMJ Open
Gail G Salvatierra, Ruth C Bindler, Kenn B Daratha
PURPOSE: The purpose of this article is to present an overview of rapid response team (RRT) history in the United States, provide a review of prior RRT effectiveness research, and propose the reframing of four new questions of RRT measurement that are designed to better understand RRTs in the context of contemporary nursing practice as well as patient outcomes. ORGANIZING CONSTRUCT: RRTs were adopted in the United States because of their intuitive appeal, and despite a lack of evidence for their effectiveness...
September 26, 2016: Journal of Nursing Scholarship
David Earle, Diane Betti, Emilia Scala
BACKGROUND: Unplanned intraoperative events are inevitable and cause stress and inefficiency among staff. We believe that developing a technical rapid response team with explicitly defined, narrow roles would reduce the amount of chaos during such emergencies. This article provides a detailed description of the development and implementation of such a program. METHODS: In-situ simulation of an intraoperative emergency was used for a formal assessment of the current practice...
June 29, 2016: American Journal of Surgery
Ana Luiza Mezzaroba, Marcos Toshiyuki Tanita, Josiane Festti, Claudia Maria Dantas de Maio Carrilho, Lucienne Tibery Queiroz Cardoso, Cintia Magalhães Carvalho Grion
OBJECTIVE: To evaluate the implementation of a multidisciplinary rapid response team led by an intensive care physician at a university hospital. METHODS: This retrospective cohort study analyzed assessment forms that were completed during the assessments made by the rapid response team of a university hospital between March 2009 and February 2014. RESULTS: Data were collected from 1,628 assessments performed by the rapid response team for 1,024 patients and included 1,423 code yellow events and 205 code blue events...
September 2016: Revista Brasileira de Terapia Intensiva
Shawna D Bellew, Daniel Cabrera, Christine M Lohse, M Fernanda Bellolio
OBJECTIVES: Rapid response teams (RRT) respond to signs of deterioration in order to avoid morbidity and mortality. Early RRT activation (eRRT) in patients admitted from the emergency department (ED) is associated with significantly increased mortality. Predicting these events may represent an opportunity to identify patients who would benefit from further resuscitation, aid disposition decision making, or improve communication between ED and inpatient providers. We aimed to create a clinical prediction instrument to quantify the risk of eRRT...
September 9, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Simon J Cooper, Leigh Kinsman, Catherine Chung, Robyn Cant, Jayne Boyle, Loretta Bull, Amanda Cameron, Cliff Connell, Jeong-Ah Kim, Denise McInnes, Angela McKay, Katrina Nankervis, Erika Penz, Thomas Rotter
BACKGROUND: There are international concerns in relation to the management of patient deterioration which has led to a body of evidence known as the 'failure to rescue' literature. Nursing staff are known to miss cues of deterioration and often fail to call for assistance. Medical Emergency Teams (Rapid Response Teams) do improve the management of acutely deteriorating patients, but first responders need the requisite skills to impact on patient safety. METHODS/DESIGN: In this study we aim to address these issues in a mixed methods interventional trial with the objective of measuring and comparing the cost and clinical impact of face-to-face and web-based simulation programs on the management of patient deterioration and related patient outcomes...
2016: BMC Health Services Research
Kyle White, Ian A Scott, Anne Bernard, Kristy McCulloch, Amanda Vaux, Chris Joyce, Clair M Sullivan
BACKGROUND: The characteristics of mature contemporary rapid response systems (RRS) are unclear. OBJECTIVES: To determine the patient characteristics, processes and outcomes, both in-hospital and post-discharge, of a well established RRS in a tertiary adult hospital. METHODS: Prospective study of consecutive rapid response team (RRT) activations between July 1(st) and November 25(th) 2015. Variables included patient characteristics, timing, location and triggers of RRT activations, interventions undertaken, mortality and readmission status at 28-days post-discharge...
September 7, 2016: Internal Medicine Journal
Kimberly Douglas, Jerry Christopher Collado, Sheila Keller
Despite the addition of family-activated rapid response to the rapid response team algorithm, a children's hospital did not see an increase in utilization of the pediatric rapid response team. A Pediatric Early Warning Score in non-ICU pediatric inpatient units was implemented to increase the number of rapid response team activations. A retrospective review of the 130-bed facility, over a 12-month period, revealed an increase in pediatric rapid response calls, with a subsequent decrease in code team activations...
October 2016: Critical Care Nursing Quarterly
Patricia L Hart, LeeAnna Spiva, Lonnie Dolly, Kristen Lang-Coleman, Nadia Prince-Williams
AIM AND OBJECTIVE: To explore and understand the experiences of medical-surgical nurses as first responders during clinical deterioration events. BACKGROUND: Nurses are key players in identifying and responding to deterioration events to escalate the level of care essential to address specific needs of patients. Delays in recognising signs and symptoms of patient deterioration and activation of Rapid Response Teams have been linked to a lack of nontechnical skills (leadership, teamwork, situational awareness) resulting in increased patient morbidity and mortality...
November 2016: Journal of Clinical Nursing
Melissa Angel, Mira Ghneim, Juhee Song, Jason Brocker, Phyllis Hart Tipton, Matthew Davis
A retrospective study was conducted to determine the effects of a well-functioning rapid response team (RRT) within one facility. A well-functioning RRT was associated with fewer cardiac arrests outside critical care settings and decreased critical care length of stay.
May 2016: Medsurg Nursing: Official Journal of the Academy of Medical-Surgical Nurses
Haller J Smith, Daniel N Pasko, Christen L Walters Haygood, Jonathan D Boone, Lorie M Harper, J Michael Straughn
OBJECTIVE: In 2014, our hospital implemented an early warning score (EWS) to identify inpatients at risk for clinical deterioration. EWS≥8 is associated with ≥10% mortality in medical admissions. Since postoperative hemodynamic changes may alter EWS, we evaluated EWS in post-laparotomy patients. METHODS: Gynecologic oncology patients admitted for laparotomy from 9/1/2014 to 7/31/2015 were categorized by highest EWS during admission: <5, 5-7, and ≥8. The primary outcome was a composite including death, ICU transfer, rapid response team activation, pulmonary embolus, sepsis, and reoperation...
October 2016: Gynecologic Oncology
Kim Manley, Anne Martin, Carolyn Jackson, Toni Wright
BACKGROUND: Overcrowding in emergency departments is a global issue, which places pressure on the shrinking workforce and threatens the future of high quality, safe and effective care. Healthcare reforms aimed at tackling this crisis have focused primarily on structural changes, which alone do not deliver anticipated improvements in quality and performance. The purpose of this study was to identify workforce enablers for achieving whole systems urgent and emergency care delivery. METHODS: A multiple case study design framed around systems thinking was conducted in South East England across one Trust consisting of five hospitals, one community healthcare trust and one ambulance trust...
2016: BMC Health Services Research
Christine Fahim, Valbona Semovski, Jodi Younger
No abstract text is available yet for this article.
August 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
Brooke Bauer, Annette Rebel, Amy Dilorenzo, Randall M Schell, Jeremy S Dority, Faith Lukens, Paul A Sloan
BACKGROUND: Residents are expected to have transition of care (ToC) skills upon entering graduate medical education. It is unclear whether experience and training during medical school is adequate. OBJECTIVE: The aim of the project was to assess: 1) graduating medical students' ability to perform ToC in a crisis situation, and 2) whether using a cognitive aid improves the ToC quality. METHODS: The authors developed simulation scenarios for rapid response teams and a cognitive aid to assist in the ToC during crisis situations...
2016: Medical Education Online
Jacob Lee, Woo Joo Kim
On May 20th 2015, a 68 year old man was the first to be diagnosed with Middle East Respiratory Syndrome-Corona Virus (MERS-CoV) in Korea. He travelled to Bahrain, Saudi Arabia, and Qatar for 16 days. On May 4th 2015, the patient entered Korea, with febrile sense and respiratory symptoms that appeared on May 11th. The MERS-CoV Outbreak became worse and several patients had to be admitted throughout various hospitals starting at the beginning of June. This situation led to a nationwide chaos. The Rapid Response Team (RRT) was organized after the Korean government's calling for specialists that were composed of 15 Infectious disease Doctors and 2 Infection Control professionals on the 8th of June 2015...
June 2016: Infection & Chemotherapy
Clifford J Connell, Ruth Endacott, Jennifer A Jackman, Noelleen R Kiprillis, Louise M Sparkes, Simon J Cooper
BACKGROUND: Survival from in-hospital cardiac arrest is poor. Clinical features, including abnormal vital signs, often indicate patient deterioration prior to severe adverse events. Early warning systems and rapid response teams are commonly used to assist the health profession in the identification and management of the deteriorating patient. Education programs are widely used in the implementation of these systems. The effectiveness of the education is unknown. AIM: The aims of this study were to identify: (i) the evidence supporting educational effectiveness in the recognition and management of the deteriorating patient and (ii) outcome measures used to evaluate educational effectiveness...
September 2016: Nurse Education Today
Justin Robison, Nicholas B Slamon
OBJECTIVES: Critical care physicians' standard for arrival to a rapid response team activation is 10 minutes or less at this institution. This study proposes that a FaceTime (Apple, Cupertino, CA) video call between the staff at the bedside and the critical care physician will allow the implementation of potentially life-saving therapies earlier than the current average response (4.5 min). DESIGN: Prospective cohort study. SETTING: Freestanding, tertiary-care children's hospital...
September 2016: Pediatric Critical Care Medicine
Jonathan Bannard-Smith, Geoffrey K Lighthall, Christian P Subbe, Lesley Durham, John Welch, Rinaldo Bellomo, Daryl A Jones
AIM: The study was developed to characterize short-term outcomes of deteriorating ward patients triggering a Rapid Response Team (RRT), and describe variability between hospitals or groups thereof. METHODS: We performed an international prospective study of Rapid Response Team (RRT) activity over a 7-day period in February 2014. Investigators at 51 acute hospitals across Australia, Denmark, the Netherlands, USA and United Kingdom collected data on all patients triggering RRT review concerning the nature, trigger and immediate outcome of RRT review...
October 2016: Resuscitation
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