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Reducing Cardiac Arrests in the Acute Admissions Unit: A Quality Improvement Journey
A quality improvement project in the acute admissions unit at the Stirling Royal Infirmary in Scotland achieved a 71 percent reduction in the number of cardiac arrests per 1,000 admissions; a 68 percent increase in referrals to palliative care per 1,000 admissions per month; and a 24 percent relative reduction in the 30-day mortality of patients admitted to unit. These results were achieved through the application of improvement methodology to test new innovations and promotion of a safety culture, among other changes.
Early Warning Systems: The Next Level of Rapid Response
An early warning system can add another layer of early detection to the Rapid Response Team system, helping staff recognize high-risk patients before their condition deteriorates.
Measures: Deploy Rapid Response Teams
Care teams should measure key components of deploying Rapid Response Teams recommended in the How-to Guide: Deploy Rapid Response Teams.
Passport Exclusive: Establishing an Early Warning System — Detecting Decline Early
In this audio slide show Kathy Duncan, RN, faculty expert on Rapid Response Teams for IHI, says an Early Warning Scoring System (EWSS) can add another layer of early detection to the Rapid Response Team system.
Passport Exclusive: Getting Started with Early Warning Scoring Systems
In this video show Christiane Levine, RN, provides tips on how to get started with an early warning scoring system.
Condition Help (H) Toolkit
The Condition Help (H) Toolkit was developed to provide hospitals and other facilities with the tools and resources necessary to implement an effective patient- and family-activated Rapid Response Team.
Rapid response teams—walk, don’t run
This article discusses the efficacy and effectiveness of Rapid Response Teams.
Teams quicken response in medical emergencies
This article describes the implementation of a Medical Emergency Team (also known as a Rapid Response Team) at the University of Pittsburgh Medical Center (UPMC) in Pennsylvania.
Empowering Families in Emergencies
This article describes how some hospitals are allowing families to call on a Rapid Response Team to assess their loved one’s condition.
Deploy Rapid Response Teams: Patient and Family Fact Sheet
This resource for patients and families describes Rapid Response Teams and provides an overview of how and when to call for the team.
Family Activation of the Pediatric Rapid Response Team Education Assessment Tool
This tool provides guidance to Rapid Response Team members on how to educate families about the team, and can be used by the team to assess educational efforts.
Family-Activated Pediatric Rapid Response Team Brochure
This brochure for families of pediatric patients describes what the Rapid Response Team is and how families can call on the team for assistance with their loved one.
How-to Guide: Deploy Rapid Response Teams — Rural Hospitals Supplement
This How-to Guide specifically tailored for rural hospitals describes key evidence-based care components for RRTs, describes how to implement these interventions, and recommends measures to gauge improvement.
How-to Guide: Deploy Rapid Response Teams — Pediatric Supplement
This How-to Guide specifically tailored for pediatrics describes key evidence-based care components for Rapid Response Teams, describes how to implement these interventions, and recommends measures to gauge improvement.
How-to Guide: Deploy Rapid Response Teams
This How-to Guide describes key evidence-based care components for Rapid Response Teams, describes how to implement these interventions, and recommends measures to gauge improvement.
Reducing Hospital Mortality Rates (Part 2)
In the first white paper, IHI introduced an analytical tool for understanding hospital mortality rates (hospital standardized mortality ratio, or HSMR). This second white paper presents the experience of hospitals that implemented evidence-based interventions proven to reduce mortality and their early results.
Pursuing Perfection: Report from Tallahassee on Reducing Mortality
Tallahassee Memorial Hospital (Tallahassee, Florida, USA) reduces patient mortality through an array of patient safety improvement initiatives as part of IHI's Pursuing Perfection program.
Missouri Baptist Medical Center Lowers Mortality Rate to 1.95 Percent
Saving lives requires a relentless focus on optimizing systems and processes on every front. At Missouri Baptist (St. Louis, Missouri, USA), careful and continuous monitoring of the six Campaign interventions along with other clinical initiatives provides a wealth of data that help staff at all levels prioritize improvement work.
Building Rapid Response Teams
Two hospitals successfully implemented Rapid Response Teams — teams that can quickly respond to a patient and assess or even transfer the patient in minutes rather than hours — and reduced adverse events and mortality rates in both hospitals as a result.
Rapid Response Teams: Heading Off Medical Crises at Baptist Memorial Hospital-Memphis
Baptist Memorial Hospital-Memphis (Memphis, Tennessee, USA) greatly reduces their mortality rates through the implementation of Rapid Response Teams.
Prevent Avoidable Codes with a Medical Emergency Team
Virginia Mason Medical Center demonstrates how their MET can reduce events of cardiopulmonary resuscitation and emergency respiratory intubation.
Rapid Response Teams: The Case for Early Intervention
This is a story the staff at Tallahassee Memorial HealthCare, a 770-bed acute care and extended care facility, share with pride. They hope it will convince other hospitals to adopt this critical, life-saving early intervention.
Reducing Hospital Mortality Rates at Henry Ford Hospital with a Rapid Response Team
Henry Ford Hospital implemented a Rapid Response Team to reduce inpatient mortality on a medical-surgical unit, decreasing their inpatient mortality rate by 20 percent and reducing pulseless cardiac arrests by 40 percent from baseline.
Swedish Medical Center Reduces Mortality Rate by Nineteen Percent
Swedish Medical Center has mounted a full court press on mortality in all three hospitals in its network: their unadjusted mortality rate dropped from an already low 2.1 percent in 2001 to 1.7 percent in mid-2005.
Early Nursing Intervention Beyond Rapid Response Teams
An early intervention team proactively rounds on units twice daily, discussing with staff and intervening on troublesome patients.