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Rapid response team: what factors interfere with your performance?

Aline A S Moreira1, Rogiane O Ramos2, Anna Beatriz S Ligório3

  • 1Federal University of Goiás, Brazil, aaliinee.alves@gmail.com.

Investigacion Y Educacion En Enfermeria
|August 28, 2018
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Summary

Factors influencing rapid response team performance include sociocultural barriers, institutional policies, and team composition. Addressing these can improve patient survival rates in hospitals.

Keywords:
critical careheart arresthospital mortalityhospital rapid response team

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Area of Science:

  • Healthcare Management
  • Clinical Operations
  • Patient Safety

Background:

  • Rapid response teams (RRTs) are crucial for timely intervention in deteriorating patients.
  • Understanding factors affecting RRT performance is essential for optimizing patient outcomes.
  • Existing literature highlights various challenges impacting RRT effectiveness.

Purpose of the Study:

  • To synthesize existing literature on factors influencing the performance of hospital rapid response teams.
  • To identify key elements that enhance or impede RRT effectiveness in clinical settings.

Main Methods:

  • An integrative literature review was conducted.
  • Searches included articles from 2006-2016 in Portuguese, English, and Spanish.
  • Databases searched: PubMed/Medline, Lilacs-Bireme, and CINAHL using keywords: hospital rapid response equipment, cardiac arrest, and hospital mortality.

Main Results:

  • Nineteen studies were analyzed, revealing key influencing factors.
  • Sociocultural barriers (interprofessional hierarchies) and institutional policies (lack of training, staffing deficits) were significant.
  • Late RRT activation correlated with increased mortality and ICU admissions.
  • RRTs composed of intensive care professionals demonstrated reduced mortality and cardiac arrest incidence.
  • Facilitating tools did not consistently improve RRT response.

Conclusions:

  • Sociocultural and institutional factors significantly impact rapid response team performance.
  • Optimizing RRT composition, particularly with intensive care professionals, can reduce patient mortality.
  • Addressing barriers to timely activation and improving team composition are critical for enhancing patient survival.