A novel configuration of a traditional rapid response team decreases non-intensive care unit arrests and overall hospital mortality

Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine
Daniel P DavisRuchika D Husa

Abstract

In-hospital cardiopulmonary arrest (CPA) accounts for substantial morbidity and mortality. Rapid response teams (RRTs) are designed to prevent non-intensive care unit (ICU) CPA through early detection and intervention. However, existing evidence has not consistently demonstrated a clear benefit. To explore the effectiveness of a novel RRT program design to decrease non-ICU CPA and overall hospital mortality. This study was conducted from the start of fiscal year 2005 to 2011. In November 2007, our hospitals implemented RRTs as part of a novel resuscitation program. Charge nurses from each inpatient unit underwent training as unit-specific RRT members. Additionally, all inpatient staff received annual training in RRT concepts including surveillance and recognition of deterioration. We compared the incidence of ICU and non-ICU CPA from first complete preimplementation year 2006 to postimplementation years 2007 to 2011. Overall hospital mortality was also reported. The incidence of non-ICU CPA decreased, whereas the incidence of ICU CPA remained unchanged. Overall hospital mortality also decreased (2.12% to 1.74%, P < 0.001). The year-over-year change in RRT activations was inversely related to the change in Code Blue activations ...Continue Reading

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Citations

Sep 1, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Sukhchain Singh
Sep 25, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Daniel Davis, Steve Aguilar
Nov 15, 2015·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Marin H KollefThomas Bailey
Mar 17, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Matthew M Churpek, Dana P Edelson
Nov 23, 2021·The Cochrane Database of Systematic Reviews·Jennifer McGaugheyLouise Rose

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