Can Rapid Response System Use Be More Efficient?
The research was prompted by a number of incidents where patient harm resulted from failure to active the rapid response system (RRS). The researchers found that a ward-initiated multi-faceted intervention sustainably reduced the incidence of missed RRS team activations that could result in either unplanned ICU admission or cardiac arrest, while the number of RRS calls did not increase. The key to success? Giving ownership to each ward to devise their own criteria for when to call the medical emergency team. The intervention also included clear communication protocols about how to use the paging system and a revised education process for new staff.
The authors write: “A key finding is that the successful development of co-produced, practice-sensitive protocols for initiating RRS can improve outcomes of patients experiencing deterioration without additional RRS resources.”
See Also: Impact of Rapid Response Teams on ICU
The study’s limitations are whether all missed RRS calls are measured. The authors state, however, that what matters was that a culture existed on the wards to positively encourage RRS calls when patients were clearly deteriorating rather than that every RRS activation was made, as the positive and negative predictive value of the various activation criteria are low.
“By taking the problem to the actual staff on the ground to get them to solve their own problems with their own resources, we succeeded in our aim of the ward teams taking ownership of the problem of deteriorating patients”, they conclude.
Published on : Tue, 8 Dec 2015
Print as PDF
Always in sight, always in mind Features Mindray believes the best way to predict the future is to create it. The revolutionary BeneVision N22/N19 is designed to optimize user experience by satisfying all your clinical demands. With visionary-stimulating...
Medos customized tubing sets have been individually designed, so that all customer requirements, depending on application and need can be realized. Furthermore tubing sets can be refined by rheoparin or x.eed coating.
NovaPort cannulas are designed specially to meet the needs of extracorporeal lung and heart support circuits and perioperative perfusion in minimally invasive heart surgery.All blood-contact surfaces of the NovaPort cannulas are coated with the bio- and...
The HAMILTON-T1 combines for the first time the functionality of a fully featured intensive care unit ventilator with the compactness and ruggedness required for transport. This is why the HAMILTON-T1 enables you to provide optimal ventilation therapy...
The fully featured ICU ventilator, HAMILTON-MR1, guarantees uncompromised continuous ventilation care from the ICU to the MRI scanner and back. Its reliability and high performance, with advanced lung-protective strategies and patient-adaptive modes,...