The Effects of a Rapid Response Team on Clinical Outcomes

Milton Evans*
*Penn State University Worthington, United States.
Periodicity:August - October'2013
DOI : https://doi.org/10.26634/jnur.3.3.2489

Abstract

One of the most startling US healthcare statistics is that somewhere between 44,000 and 98,000 hospital in-patient deaths each year are considered to be the result of medical error or oversight and thus, are arguably avoidable mortalities (Byrne, Delarose, et al. 2007). The purpose of this study was to explore the effects of a Rapid Response Team (RRT) implementation on rates of patient mortality, in-hospital cardiac arrests, ICU admissions, length of patient stay, code calls, and overall cost-effectiveness of a 300 bed, non-metropolitan hospital. The discharge rate was significantly higher post RRT, the mortality rate was significantly lower post RRT, and the number of deaths were significantly lower post RRT. The data also demonstrated that for each unit of RRT implementation, patient stay increased by 0.43 days and an average increase of 23 dollars of hospital cost per patient, per day. The evidence that the RRT implementation and integration had a significant impact on death, mortality rate, and discharge from the hospital is a potential argument in favor of RRT implementation.

Keywords

Clinical, Communication, Coordination, Cost, Death, Effectiveness, Emergency, Hospital, Immediate Response, Injury, Intervention, Medical Emergency Team, Mortality, Patient, Preventable, Rapid Response Team, and Safety

How to Cite this Article?

Evans, M. (2013). The Effects of a Rapid Response Team on Clinical Outcomes. i-manager’s Journal on Nursing, 3(3), 8-14. https://doi.org/10.26634/jnur.3.3.2489

References

[1]. Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J., & Silber, J.H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288, 1987-1993.
[2]. Aneman, A., & Parr, M. (2006). Medical emergency teams: a role for expanded intensive care? Acta Anaesthesiologica Scandinavica, 50, 1255-1265.
[3]. Becker, C. (2005). Fast start for hospitals. Modern Healthcare, 35(51), 8-9.
[4]. Burns, H.K., Sakraida, T.J., Englert, N.C., Hoffmann, R.L., Tuite, P., & Foley, S.M. (2006). Returning nurses to the workforce: developing a fast track back program. Nursing Forum, 41(3), 125-132.
[5]. Byrne, M., Delarose, T., King, C.A., Leske, J., Sapnas, K.G., & Schroeter, K. (2007). Continued professional competence and portfolios. Journal of Trauma Nursing, 14(1), 24-31.
[6]. Chen, P.S., Khalid, A., Longmore, L.S., Berg, R.A., Kosiborod, M., & Spertus, J.A. (2008). Hospital-wide code rates and mortality before and after implementation of a rapid response team. JAMA, 300(21), 2506-2513.
[7]. Christensen, C.M., Bohmer, R., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, September/October 2000, 102-112.
[8]. Dacey, M.J., Mirza, E.R., Wilcox, V., Doherty, M., Mello, J., Boyer, A., Gates, J., Brothers, T., & Baute, R. (2007). The effect of a rapid response team on major clinical outcome measures in a community hospital. Critical Care Medicine, 35(9), 2076-2082.
[9]. Dahlen, G.M., & Benz, B.A. (2006). Rapid response teams: ten essentials leaders need to know. Healthcare Executive, 21(4), 28-34.
[10]. DeVita, M.A., Bellomo, R., Hillman, K., Kellum, J., Rotondi, A., Teres, D., Auerbach, A., Wen-Jon, C., et al. (2006). Findings of the First Consensus Conference on medical emergency teams. Critical Care Medicine, 34(9), 2463-2478.
[11]. Duncan, K.K. (2005). RRTs and electronic code documentation: advancing in-hospital resuscitation practices. Nurse Management, 36(12), 18-22.
[12]. Fourth Annual Patient Safety in American Hospitals Study, April 2007). Health Grades Quality Study: Retrieved on November 26, 2008 at http://www.eurekalert.org/ images/release_graphics/pdf/PatientSafetyInAmericanHo spitalsStudy2007Embargoed.pdf.
[13]. Fourth Annual Patient Safety in American Hospitals study. (2007). Medical Benefits, Aspen Publishers, p. 9.
[14]. Forster, A.J., Shojania, K.G., & van Walraven, C. (2005). Improving patient safety: moving beyond the "hype" of medical errors. Canadian Medical Association Journal, 173(8).
[15]. Harraden, C., & Rutherford, P. (2004). Redesign the clinical process to enhance patient care. AHA News, November 1, 2004, 7.
[16]. Hillman, K., Chen, J., Cretikos, M., Bellomo, R., Brown, D., Doig, G., Finfer, S., Flabouris, A., and the MERIT study investigators. (2005). Introduction of the medical emergency team (MET) system: a randomized clustercontrolled trial. Lancet, 365(9477), 2091-2097.
[17]. Jamieson, E., Ferrell, C., & Rutledge, D.N. (2008). Medical emergency team implementation: experiences of a mentor hospital. MEDSURG Nursing, 17(5), 312-317.
[18]. Jones, D., & Bellomo, R. (2006). Introduction of a rapid response system: why we are glad we MET. Critical Care Journal, 10, 121.
[19]. Jones, D., Egi, M., Bellomo, R., & Goldsmith, D. (2007). Effect of the medical emergency team on long-term mortality following major surgery. Critical Care Journal, 11, R12.
[20]. Leech, N. L., Barrett, K. C., & Morgan, G. A. (2005). SPSS for intermediate statistics: Use and interpretation (2nd ed.). Mahwah, NJ: Lawrence Erlbaum Associates, Publishers.
[21]. Li, J., & Nolan, S. (2004). Outcome-based approach to secondary stroke in the emergency department: code gray. Topics in Emergency Medicine, 26(3), 201-211.
[22]. McCabe, D. (2007). Rapid response teams: passing fancy or future standard? Massachusetts Nurse Advocate, 78(8), 8-9.
[23]. Merryman, T. (2005). Setting up a rapid-response team. Rushing to save lives. Making a cardiac arrest team more efficient takes time. Modern Healthcare, 35(46), S10-1.
[24]. Pickoff, R.M. (2006). Are rapid response teams simply a bandage on a bigger problem? The Physician Executive, May/June 2006, 36-38.
[25]. Saver, C. (2006). Beyond expectations. Nursing Management, October, 37-42.
[26]. Sharek, P.J., Parast, L.J., Leong, K., Coombs, J., Earnest, K., Sullivan, J., Frankel, L.R., & Roth, S.J. (2007). Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children's hospital. Journal of the American Medical Association, 238(19), 2267-2274.
[27]. Stevens, J. P. (2002). Applied multivariate statistics for the social sciences (4th ed.). Lawrence Erlbaum Associates: Mahwah, NJ.
[28]. Thomas, K., Force, M.V., Rasmussen, D., Dodd, D., & Whildin, S. (2007). Rapid response team: challenges, solutions, benefits. Critical Care Nurse, 27(1), 20-28.
[29]. Walker, T. (2005). Rapid response care springs into action at hospitals. Managed Healthcare Executive, January, 14-15.
[30]. Ward, W.J. (2006). Letter: Financial effect of rapid response teams. Critical Care Nurse, 27(3), 18.
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