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Updated: Jan 23, 2026

Integrated Compensatory Responses in a Human Model of Hemorrhage
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The rapid response system: an integrative review.

John Rihari-Thomas1, Michelle DiGiacomo2, Phillip Newton3

  • 1a Nursing Research Institute, Australian Catholic University & St Vincent's Health Australia Sydney , 390 Victoria Street, Darlinghurst , NSW 2010 , Australia.

Contemporary Nurse
|June 22, 2019
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Summary

Rapid response systems (RRS) help identify deteriorating patients in hospitals. Their widespread adoption in Australia is influenced by an aging population, hospital culture, and consumer roles, requiring resources and skilled staff for success.

Keywords:
clinical deteriorationemergencyemergency treatmenthospital rapid response team

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Clinical Systems

Background:

  • Increasing clinical deterioration and adverse events in hospitals necessitate improved patient monitoring.
  • Rapid response systems (RRS) are critical for early identification of at-risk patients.

Purpose of the Study:

  • To review historical trends in the adoption of RRS.
  • To focus on Australian healthcare issues and identify future directions for RRS.

Main Methods:

  • An integrative literature review was conducted.
  • Included published and grey literature, encompassing 78 sources.

Main Results:

  • Key themes identified include increasing patient acuity and an aging population.
  • The importance of hospital culture, evolving consumer roles, and RRS proliferation, evolution, and standardization were highlighted.
  • Translating evidence into practice is challenging, influenced by local factors and political drivers.

Conclusions:

  • Rapid response systems are complex interventions requiring consideration of contextual factors.
  • Successful implementation necessitates appropriate resources, a skilled workforce, and positive workplace cultures.