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Rapid response teams: do they make a difference?

Jenny Jolley1, Heather Bendyk, Bonnie Holaday

  • 1Spartanburg Regional Medical Center in South Carolina, USA. jnyjol@aol.com

Dimensions of Critical Care Nursing : DCCN
|December 20, 2007
PubMed
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Rapid response teams (RRTs) in hospitals decrease in-hospital cardiac arrests. However, this study found RRT implementation did not reduce overall patient mortality rates.

Area of Science:

  • Clinical Medicine
  • Healthcare Management
  • Patient Safety

Background:

  • Rapid response teams (RRTs) are increasingly utilized in hospitals nationwide.
  • These multidisciplinary teams provide critical care expertise at the patient's bedside.
  • RRTs aim to assess, stabilize, and manage critically ill patients, improving communication and staff support.

Purpose of the Study:

  • To evaluate the effectiveness of implementing an RRT at a single medical center.
  • To determine the impact of RRTs on code rates and patient mortality.
  • To assess the role of RRTs in critical care delivery.

Main Methods:

  • Implementation of a rapid response team protocol within a medical center.
  • Analysis of pre- and post-implementation data on cardiac arrest events (codes) outside intensive care units.

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  • Evaluation of overall patient mortality rates before and after RRT implementation.

    • Main Results:

    • A significant decrease in the percentage of codes occurring outside critical care units was observed.
    • No significant reduction in overall patient mortality rates was demonstrated.
    • The study highlights the impact of RRTs on reducing critical events but not mortality.

    Conclusions:

    • RRT implementation effectively reduced the incidence of cardiac arrests in non-critical care areas.
    • Further investigation and data review are necessary to address and improve overall patient mortality rates.
    • Continued efforts are needed to optimize RRT strategies for comprehensive patient outcome improvement.