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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 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: Scorecards That Save Lives
The EWSS, experts say, could yield even more benefits for patients and hospitals by identifying deteriorating patients even earlier than a single-parameter approach such as a Rapid Response Team.
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.
Colour Banded Early Warning Observation Chart
This chart was introduced as a track and trigger tool to help nursing staff identify patients who are at risk of deteriorating through critical illness, and then obtain a timely response from either the doctor or outreach nurse.
Implementation of a Rapid Response Team at a Teaching Medical Institution
Albert Einstein Medical Center reduced the number of code-blue calls per 1,000 discharges by 50.6 percent by implementing a Rapid Response Team.
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.
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.
Reducing Hospital Mortality Rates at Missouri Baptist
Missouri Baptist Hospital has achieved a 22 percent reduction in their raw mortality rate in a four-year period. As they celebrate their success, work continues to hold the gains and reduce the mortality rate even further.
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.
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.
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.
Rapid Response Team Decreases Code Events and Unexpected Patient Deaths Outside the ICU
After deploying a Rapid Response Team and providing early interventions to a deteriorating patient, Rapid City Regional Hospital has improved the survival rate of patients who experienced an in-hospital cardiac and/or pulmonary arrest, decreased code events, and decreased unexpected deaths in patients who were admitted outside the intensive care unit.
Decreasing Harm to Patients by Standardizing Care
Northeast Health decreased harm to patients by standardizing care, including implementation of the Central Line and Ventilator Bundles and formation of a Rapid Response Team.
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.
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.
Best-practice protocols: Implementing a rapid response system of care
Rapid Response Teams provide a method for sending experts to the bedside to assist with patient evaluation and treatment before clinical deterioration progresses to cardiac arrest.
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.
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.
Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates
Prospective, controlled before-after trial. In the control period, there were 301 adverse outcomes/1,000 surgical admissions, which decreased to 127/1,000 surgical admissions during the intervention period.
Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: Preliminary study
Clinical intervention by a medical emergency team prompted by clinical instability in a patient significantly reduced the incidence of unexpected cardiac arrest.
Recognition of patients who require emergency assistance: A descriptive study
Primary findings showed that nurses relied on the following four characteristics to apply the medical emergency team criterion, “seriously worried about a patient”: feeling “not right,” color, agitation, observations marginally changed or not changed at all.
Improving the utilization of medical crisis teams (Condition C) at an urban tertiary care hospital
Over a three-year period, interventions that involved objective definition and dissemination of criteria for initiating the Condition C response were significantly associated with increased utilization.