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Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. | AHRQ Patient Saf
Accountability for errors and organizational assessment of failures affect incident reporting. This policy review explores how potential legal ramifications stemming from investigations of negligence can hinder improvement efforts and outlines recommendations to support safety culture in health care. -
Patient safety initiatives in obstetrics: a rapid review. | AHRQ Patient Safety Network
Various factors affect the safety of women and infants during childbirth. This review identified randomized controlled trials that examined various combinations of clinician education, team enhancement, and auditing as tactics to address problems, litigation, and costs resulting from safety events in obstetrics. -
Rapid response systems: a systematic review and meta-analysis. | AHRQ Patient Safety Network
This meta-analysis of rapid response systems concludes that despite the heterogeneity of included populations and varying study designs, rapid response teams do improve in-hospital mortality for pediatric and adult populations. This analysis supports the current widespread implementation of rapid response. -
Rapid response teams: a systematic review and meta-analysis. | AHRQ Patient Safety Network
Rapid response systems are one of the most widely deployed patient safety interventions in hospitals. Most hospitals maintain some form of RRS, due in part to a 2008 National Patient Safety Goal that required hospitals to maintain a dedicated system for urgent assistance for clinically unstable patients. However, this systematic review and meta-analysis found no definitive evidence that the teams improved in-hospital mortality in adult or pediatric patients. Although RRS usage was associated with decreased cardiac arrest rates on general wards, overall mortality rates did not improve, and the review noted significant problems with the methodological quality of many RRS studies. RRS have proven to be a very popular intervention among nursing staff, and this factor alone may justify implementation of some form of RRS.https://psnet.ahrq.gov/resources/resource/17375 - 8k - 2019-03-30 -
Rapid response systems as a patient safety strategy: a systematic review. | AHRQ Patient Safety Netw
Rapid response systems (RRSs) are somewhat effective at preventing cardiorespiratory arrest outside the intensive care unit, according to this AHRQ-funded systematic review published as part of a patient safety supplement in the Annals of Internal Medicine. The review also identifies barriers and facilitators to effective implementation of RRSs in different contexts.https://psnet.ahrq.gov/resources/resource/25828 - 8k - 2019-03-31 -
Rapid response systems as a patient safety strategy: a systematic review. | AHRQ Patient Safety Netw
Rapid response systems (RRSs) are somewhat effective at preventing cardiorespiratory arrest outside the intensive care unit, according to this AHRQ-funded systematic review published as part of a patient safety supplement in the Annals of Internal Medicine. The review also identifies barriers and facilitators to effective implementation of RRSs in different contexts. -
Rapid response teams: a systematic review and meta-analysis. | AHRQ Patient Safety Network
Rapid response systems are one of the most widely deployed patient safety interventions in hospitals. Most hospitals maintain some form of RRS, due in part to a 2008 National Patient Safety Goal that required hospitals to maintain a dedicated system for urgent assistance for clinically unstable patients. However, this systematic review and meta-analysis found no definitive evidence that the teams improved in-hospital mortality in adult or pediatric patients. Although RRS usage was associated with decreased cardiac arrest rates on general wards, overall mortality rates did not improve, and the review noted significant problems with the methodological quality of many RRS studies. RRS have proven to be a very popular intervention among nursing staff, and this factor alone may justify implementation of some form of RRS. -
Consumer participation in early detection of the deteriorating patient and call activation to rapid
Engaging patients and their families to call rapid response teams (RRTs) has been promoted as a patient safety strategy. This literature review found that consumer education programs for RRT activation led to more RRT calls by both consumers and clinicians and decreased rates of patient mortality. -
Rapid Response Systems | AHRQ Patient Safety Network
Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of imminent clinical deterioration, a team of providers is summoned to the bedside to immediately assess and treat the patient with the goal of preventing adverse clinical outcomes.https://psnet.ahrq.gov/primers/primer/4 - 12k - 2019-04-02 -
Rapid Response Systems | AHRQ Patient Safety Network
Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of imminent clinical deterioration, a team of providers is summoned to the bedside to immediately assess and treat the patient with the goal of preventing adverse clinical outcomes.https://psnet.ahrq.gov/primers/primer/4/Rapid-Response-Systems - 12k - 2019-04-02 -
Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration-A Resourc
More PBRN Annual Conference PBRN Annual Conference Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration-A Resour ... -
Reasons for repeat rapid response team calls, and associations with in-hospital mortality. | AHRQ Pa
Rapid response teams remain a well-established patient safety strategy and are frequently implemented in order to identify deteriorating patients early so that appropriate care can be provided quickly. However, evidence supporting their effectiveness remains mixed. In this retrospective study, researchers found that patients who triggered a rapid response call but who met ongoing rapid response criteria when the initial call ended and then triggered a repeat call had significantly higher odds of mortality compared to patients with a single rapid response call during their admission. -
Rapid Mis-St(r)ep | AHRQ Patient Safety Network
In the urgent care clinic, a 5-year-old with fever and sore throat undergoes a rapid strep test, which is negative. Later, the child seems worse, and the father takes her to the ED, where another rapid strep test is strongly positive for group A streptococcal infection.https://psnet.ahrq.gov/webmm/case/145/Rapid-Mis-Strep - 17k - 2019-03-24 -
Rapid response teams and failure to rescue: one community's experience. | AHRQ Patient Safety Networ
This study found no association between rapid response team implementation and mortality from failure to rescue among hospitals in a large metropolitan area. -
Rapid response systems. | AHRQ Patient Safety Network
Although rapid response programs have been advocated as promising patient safety strategies, the evidence regarding their benefits is mixed. This review provides an overview of rapid response systems, including key components and goals of the intervention. Further research is needed to provide justification on their use for adult patients.https://psnet.ahrq.gov/resources/resource/29129/Rapid-response-systems - 7k - 2019-03-30 -
Rapid response teams: what's the latest? | AHRQ Patient Safety Network
Rapid response systems are an established strategy to prevent in-hospital mortality. This commentary discusses key features of a rapid response team, nurse responsibilities as team members, and barriers to implementing rapid response initiatives. -
Simulation Training for Rapid Assessment Improved Teamwork (STRAIT) Project. | AHRQ Patient Safety N
This AHRQ-funded project supports interprofessional communications training for post-anesthesia care unit teams and targets nurse handoff improvements. -
Evaluating implementation of a rapid response team: considering alternative outcome measures. | AHRQ
Although effectiveness of rapid response teams has traditionally been measured by using rates of cardiac arrests or intensive care unit transfers, this study advocates for using the AHRQ failure to rescue metric instead. Failure to rescue rates declined in the second year after implementation of the rapid response team in concert with increased utilization of the team. -
Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional a
Clinical staff often fail to call rapid response teams to evaluate deteriorating patients, even when objective criteria for calling the team are met. This qualitative study of physicians and nurses at an Australian hospital found that an impaired culture of safety can result in failure to use the rapid response team when appropriate and can also lead to using the team as a workaround to compensate for poor interdisciplinary communication. -
Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. |
Rapid response teams have been championed as a strategy to improve hospital outcomes. However, evidence regarding their effectiveness is mixed, and rapid response teams remain controversial. In this pre-post study across multiple hospitals, the combined incidence of in-hospital death, cardiopulmonary arrest, and unplanned intensive care unit admission decreased following the introduction of rapid response teams compared to the pre-implementation time period. Although this study design does not offer definitive evidence that rapid response was the cause of the declining event rate, it does add support for the call in the National Patient Safety Goal to implement rapid response more widely. Barriers to rapid response team implementation include personnel costs as well as existing culture which may lead to reluctance to activate a rapid response.