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Rapid response teams: qualitative analysis of their effectiveness
Linda Searle Leach1, Ann M Mayo
1School of Nursing, University of California Los Angeles, Los Angeles, CA 90095-6917, USA. lleach@sonnet.ucla.edu
Summary
Rapid response teams effectively manage critical patient situations. However, inconsistent staffing and limited team training present challenges to optimal team functioning and patient care.
Area of Science:
- Healthcare Management
- Patient Safety
- Team Dynamics
Background:
- Multidisciplinary rapid response teams (RRTs) address emergent patient needs to prevent deaths.
- Limited research exists on the internal team effectiveness of RRTs from multiple perspectives.
Purpose of the Study:
- To describe the effectiveness of RRTs in a large California teaching hospital after 5 years of implementation.
Main Methods:
- Grounded theory approach utilizing semistructured interviews with 17 key informants.
- Observation of 9 RRT events using convenience sampling.
- Concept/indicator model for data analysis, including coding, comparison, and relationship formation.
Main Results:
- Effective team performance dimensions include organizational culture, team structure, expertise, communication, and teamwork.
- RRTs were reported to function well in managing at-risk or crisis patients.
- Key challenges identified include loosely coupled teams due to inconsistent membership and limited relationship/skill development.
Conclusions:
- RRTs are effective in crisis management, but face challenges from team member inconsistency.
- Enhanced team training is crucial for RRTs, potentially more so than for regularly co-located teams.
- Effective communication and crisis management are vital for RRT success.
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