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'Between the flags': implementing a rapid response system at scale.

Clifford Hughes1, Charles Pain2, Jeffrey Braithwaite3

  • 1Clinical Excellence Commission, Sydney, Australia.

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|April 18, 2014
PubMed
Summary
This summary is machine-generated.

This study details the system-wide adoption of rapid response systems (RRSs) across 220 Australian hospitals. The innovative "between the flags" approach, inspired by surf lifesaving, ensures timely care for deteriorating patients.

Keywords:
Health PolicyImplementation ScienceMedical Emergency TeamPatient SafetyRisk Management

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Clinical Systems

Background:

  • Rapid response systems (RRSs) are increasingly adopted in hospitals.
  • Evidence on system-wide RRS implementation strategies is limited.
  • Deteriorating patient care requires systematic approaches.

Purpose of the Study:

  • To describe the system-wide implementation of RRSs in 220 hospitals in New South Wales, Australia.
  • To evaluate the 'between the flags' model for RRS adoption.
  • To document experiences with a novel approach to patient deterioration management.

Main Methods:

  • The study involved 220 hospitals in New South Wales, Australia.
  • A 'between the flags' approach, modeled on surf lifesaving, was implemented.
  • This system identifies patients requiring special attention for deterioration.

Main Results:

  • The initiative successfully enrolled 220 hospitals in a unified RRS strategy.
  • The 'between the flags' model provided a framework for systematic patient monitoring.
  • Hospitals adopted a standardized approach to managing deteriorating patients.

Conclusions:

  • System-wide implementation of RRSs is feasible using innovative models.
  • The 'between the flags' approach offers a scalable strategy for improving patient safety.
  • This initiative provides a documented case study for RRS adoption in healthcare systems.