Hospital rapid response team
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Overview
Hospital rapid response teams are "multidisciplinary team most frequently consisting of intensive care unit trained personnel who are available 24 hours per day, 7 days per week for evaluation of patients who develop signs or symptoms of severe clinical deterioration."[1][2][3] A Medical emergency team includes a physician.[2]
Structure
Hospital rapid response teams have four components:[4]
- The afferent limb identifies clinical deterioration in patients and triggers a response.
- The efferent limb "is the response, which includes both the personnel and the equipment brought to the patient."
- Patient safety and quality improvement constitute the third component, which monitors performance of the system and provides feedback.
- Administration and governance
Afferent limb
Efferent limb
The presence of a physician may not improve effectiveness.[5]
Effectiveness
The use of hospital rapid response teams may[6][5][7] or may[8] not be associated with reduced mortality according to meta-analyses. The only randomized controlled trial showed no benefit.[9]
References
- ↑ "Hospital Rapid Response Team - MeSH - NCBI". Retrieved 2017-04-04.
- ↑ 2.0 2.1 "Rapid Response Systems - AHRQ Patient Safety Network". Retrieved 2017-04-04.
- ↑ "Institute for Healthcare Improvement: Rapid Response Teams". Retrieved 2017-04-04.
- ↑ Jones DA, DeVita MA, Bellomo R (2011). "Rapid-response teams". N Engl J Med. 365 (2): 139–46. doi:10.1056/NEJMra0910926. PMID 21751906.
- ↑ 5.0 5.1 Maharaj R, Raffaele I, Wendon J (2015). "Rapid response systems: a systematic review and meta-analysis". Crit Care. 19: 254. doi:10.1186/s13054-015-0973-y. PMC 4489005. PMID 26070457.
- ↑ De Jong A, Jung B, Daurat A, Chanques G, Mahul M, Monnin M; et al. (2016). "Effect of rapid response systems on hospital mortality: a systematic review and meta-analysis". Intensive Care Med. 42 (4): 615–7. doi:10.1007/s00134-016-4263-1. PMID 26921184.
- ↑ Winters BD, Weaver SJ, Pfoh ER, Yang T, Pham JC, Dy SM (2013). "Rapid-response systems as a patient safety strategy: a systematic review". Ann Intern Med. 158 (5 Pt 2): 417–25. doi:10.7326/0003-4819-158-5-201303051-00009. PMC 4695999. PMID 23460099.
- ↑ Maharaj R, Stelfox HT (2016). "Rapid response teams improve outcomes: no". Intensive Care Med. 42 (4): 596–8. doi:10.1007/s00134-016-4246-2. PMID 26850330.
- ↑ Hillman K, Chen J, Cretikos M, Bellomo R, Brown D, Doig G; et al. (2005). "Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial". Lancet. 365 (9477): 2091–7. doi:10.1016/S0140-6736(05)66733-5. PMID 15964445.
