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Nursing and Medical Perceptions of a Hospital Rapid Response System: New Process But Same Old Game?
Clint Douglas1, Sonya Osborne, Carol Windsor
1School of Nursing, Queensland University of Technology, Kelvin Grove, Queensland, Australia (Drs Douglas, Osborne, Windsor, Fox, Booker, Gardner and Ms Jones); Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia (Drs Douglas, Osborne, Windsor, and Gardner); Royal Brisbane and Women's Hospital, Herston, Queensland, Australia (Drs Osborne, Fox, and Booker); and Public Health, University of Queensland, Herston, Queensland, Australia (Ms Jones).
Abstract:
Perhaps no other patient safety intervention depends so acutely on effective interprofessional teamwork for patient survival than the hospital rapid response system. Yet, little is known about nurse-physician relationships when rescuing at-risk patients. This study compared nursing and medical staff perceptions of a mature rapid response system at a large tertiary hospital. Findings indicate that the rapid response system may be failing to address a hierarchical culture and systems-level barriers to early recognition and response to patient deterioration.
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