Journal article
Realistic Evaluation of a Rapid Response System: Context, Mechanisms, and Outcomes
Western journal of nursing research, Vol.41(4), pp.519-536
04/2019
DOI: 10.1177/0193945918776310
PMID: 29768987
Abstract
The purpose of this study was to describe and explore differences between rapid response system events in a Midwestern community hospital through context, mechanism, and outcome factors. The design was a retrospective review of 1,939 adult inpatient events that occurred on medical (62.8%) and surgical units (37.2%) over 92 months. The immediate outcomes of the events were stabilization (59.0%), transfer to a higher level of care (39%), and cardiopulmonary arrest (2%). Nurses activated 94% of all rapid response events; respiratory (38.8%) and cardiac (29.2%) symptoms were the most common triggers, and worry alone triggered 23% of all events. Medical and surgical events were significantly different with regard to antecedents to unit arrival, most common triggers, immediate clinical outcomes, and occurrence during resource-limited times. Understanding rapid response events and differences between medical and surgical units is important to improve early identification of deterioration and thus intervention for vulnerable patients.
Details
- Title: Subtitle
- Realistic Evaluation of a Rapid Response System: Context, Mechanisms, and Outcomes
- Creators
- Jacinda L Bunch - 1 The University of Iowa, Iowa City, IA, USAPatricia S Groves - 1 The University of Iowa, Iowa City, IA, USAYelena Perkhounkova - 1 The University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Western journal of nursing research, Vol.41(4), pp.519-536
- DOI
- 10.1177/0193945918776310
- PMID
- 29768987
- NLM abbreviation
- West J Nurs Res
- ISSN
- 0193-9459
- eISSN
- 1552-8456
- Publisher
- United States
- Language
- English
- Date published
- 04/2019
- Academic Unit
- Nursing; Injury Prevention Research Center
- Record Identifier
- 9984064294202771
Metrics
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