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Family-Initiated Pediatric Rapid Response: Characteristics, Impetus, and Outcomes

Aarti C Bavare, Jenilea K Thomas, Elizabeth P Elliott

    Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
    |October 11, 2017
    PubMed

    Insights

    Family-initiated rapid response (FIRR) systems allow families to voice concerns, leading to timely interventions. FIRRs in a pediatric hospital showed legitimate triggers and improved patient outcomes compared to clinician-activated rapid responses.

    Area of Science:

    • Pediatric critical care
    • Patient safety systems
    • Family-centered care

    Background:

    • Family-initiated rapid response (FIRR) systems empower families to escalate concerns.
    • Limited data exists on FIRR characteristics and outcomes in pediatric tertiary care.

    Purpose of the Study:

    • To describe the characteristics and outcomes of FIRRs.
    • To compare FIRRs with clinician-activated rapid responses (C-RRs).

    Main Methods:

    • Retrospective review of 1,906 rapid response events over 3 years.
    • Analysis of 49 FIRRs and comparison with C-RRs.

    Main Results:

    • FIRRs represented 2.6% of all rapid response events.
    • Common triggers included uncontrolled pain; 61% had chronic conditions.
    • 76% of FIRRs required interventions, and 27% needed ICU transfer (vs. 60% for C-RRs).

    Conclusions:

    • FIRRs are activated for valid concerns and often require clinical intervention.
    • Improving awareness and utilization of FIRR can enhance patient safety and outcomes.
    • Empowering families in rapid response systems improves pediatric care.
    Abstract

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