Journal article
Rapid Response: A Quality Improvement Conundrum
Journal of hospital medicine, Vol.4(4), pp.255-257
04/2009
DOI: 10.1002/jhm.430
PMID: 19388068
Abstract
Many in-hospital cardiac arrests and other adverse events are heralded by warning signs that are evident in the preceding 6 to B hours. By promptly intervening before further deterioration occurs, rapid response teams (RRTs) are designed to decrease unexpected intensive care unit (ICU) transfers, cardiac arrests, and inpatient mortality. While implementing RRTs is 1 of the 6 initiatives recommended by the Institute for Healthcare Improvement, data supporting their effectiveness is equivocal. Before implementing an RRT in our institution, we reviewed cases of failure to rescue and found that (1) poor outcomes were often associated with attempts to manage early decompensations without a bedside evaluation, and (2) the common Causes of decompensation for floor patients (early sepsis, aspiration, pulmonary embolism) were within the scope of our primary teams' practice. Therefore, we felt that prompt, mandatory bedside evaluations by the primary team would decrease untoward outcomes. Journal of Hospital Medicine 2009;255-257. (C) 2009 Society of Hospital Medicine.
Details
- Title: Subtitle
- Rapid Response: A Quality Improvement Conundrum
- Creators
- Renata Prado - University of Colorado DenverRichard K. Albert - Denver Health Medical CenterPhilip S. Mehler - University of Colorado DenverEugene S. Chu - University of Colorado Denver
- Resource Type
- Journal article
- Publication Details
- Journal of hospital medicine, Vol.4(4), pp.255-257
- Publisher
- Frontline Medical Communications
- DOI
- 10.1002/jhm.430
- PMID
- 19388068
- ISSN
- 1553-5592
- eISSN
- 1553-5606
- Number of pages
- 3
- Language
- English
- Date published
- 04/2009
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984771649102771
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