Realistic Evaluation of a Rapid Response System: Context, Mechanisms, and Outcomes

Western Journal of Nursing Research
Jacinda L BunchYelena Perkhounkova

Abstract

The purpose of this study was to describe and explore differences between rapid response system events in a Midwestern community hospital through context, mechanism, and outcome factors. The design was a retrospective review of 1,939 adult inpatient events that occurred on medical (62.8%) and surgical units (37.2%) over 92 months. The immediate outcomes of the events were stabilization (59.0%), transfer to a higher level of care (39%), and cardiopulmonary arrest (2%). Nurses activated 94% of all rapid response events; respiratory (38.8%) and cardiac (29.2%) symptoms were the most common triggers, and worry alone triggered 23% of all events. Medical and surgical events were significantly different with regard to antecedents to unit arrival, most common triggers, immediate clinical outcomes, and occurrence during resource-limited times. Understanding rapid response events and differences between medical and surgical units is important to improve early identification of deterioration and thus intervention for vulnerable patients.

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Citations

Jul 1, 2020·Hospital Pediatrics·Aarti C BavareJenilea K Thomas
Jun 6, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Mina AzimiradHannele Turunen

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BETA
sedation

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SAS®
RE

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