Rapid response teams in adult hospitals: Time for another look?

White, K., Scott, I.A., Vaux, A. and Sullivan, C.M. (2015) Rapid response teams in adult hospitals: Time for another look?. Internal Medicine Journal, 45 12: 1211-1220. doi:10.1111/imj.12845


Author White, K.
Scott, I.A.
Vaux, A.
Sullivan, C.M.
Title Rapid response teams in adult hospitals: Time for another look?
Journal name Internal Medicine Journal   Check publisher's open access policy
ISSN 1445-5994
1444-0903
Publication date 2015-12-01
Year available 2015
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/imj.12845
Open Access Status Not Open Access
Volume 45
Issue 12
Start page 1211
End page 1220
Total pages 10
Place of publication Richmond, Victoria, Australia
Publisher Wiley-Blackwell Publishing
Language eng
Abstract Rapid response teams (RRT), alternatively termed medical emergency teams, have become part of the clinical landscape in the majority of adult hospitals throughout Australia and New Zealand. These teams aim to bring critical care expertise to the bedside of clinically deteriorating patients residing in general hospital wards with the aim of preventing adverse outcomes, in particular death or cardiorespiratory arrests. While the concept of RRT has considerable face validity, there is little high quality evidence of their effectiveness and much uncertainty as to the optimal methods for identifying patients in need of RRT and calling the RRT (afferent limb) and how, and with whom, the RRT should then respond (efferent limb). Adverse unintended consequences of RRT systems and the opportunity costs involved in maintaining such systems have not been subject to study, amid concerns RRT may be compensating for other potentially remediable system of care failures. This article presents an overview of the current state of play of RRT in hospital practice as they pertain to the care of adult patients and identifies several issues around their implementation and evaluation that should be subject to further research.
Keyword Rapid response team
Adult
Effectiveness
Implementation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2016 Collection
School of Medicine Publications
 
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