Exploration of a rapid response team model of care: A descriptive dual methods study.
Intensive Crit Care Nurs
; 73: 103294, 2022 Dec.
Article
em En
| MEDLINE
| ID: mdl-36031517
ABSTRACT
BACKGROUND:
Avoidable in-patient clinical deterioration results in serious adverse events and up to 80% are preventable. Rapid response systems allow early recognition and response to clinical deterioration.OBJECTIVE:
To explore the characteristics of a collaborative rapid response team model.DESIGN:
Dual methodology was used for this descriptive study.SETTING:
The study was conducted in a 500-bed tertiary referral hospital (Sydney, Australia).PARTICIPANTS:
Inpatients (>17 years) who received a rapid response team activation were included in an electronic medical audit. Participants were rapid response team members and nurses and medical doctors in two in-patient wards.METHODS:
A 12-month (January-December 2018) retrospective electronic health record audit and semi-structured interviews with nurses and medical doctors (July-August 2019) were conducted. Descriptive statistics summarised audit data. Interviews were transcribed and analysed thematically.RESULTS:
The rapid response team consulted for 2195 patients. Mean patient age was 67.9 years, and 46% of the sample was female. Activations (n = 4092) occurred most often in general medicine (n = 1124, 70.8%) units. Overall, 117 patients had >5 activations. The themes synthesised from interviews were i) managing patient deterioration before arrival of the rapid response team; ii) collaboratively managing patient deterioration at the bedside; iii) rapid response team guidance at the bedside; and iv) 'staff concern' rapid response activation.CONCLUSIONS:
Some patients received many activations, however few required treatment in critical care. The rapid response model was collaborative and supportive. The themes revealed a focus on patient safety, optimising early detection, and management of patient deterioration.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Equipe de Respostas Rápidas de Hospitais
/
Deterioração Clínica
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article