PURPOSE: The purpose of the study is to evaluate the impact of primary service involvement on rapid response team (RRT) evaluations. MATERIALS AND METHODS: The study is a combination of retrospective chart review and prospective survey-based evaluation. Data included when and where the activations occurred and the patient's code status, primary service, and ultimate disposition. These data were correlated with survey data from each event. A prospective survey evaluated the primary team's involvement in decision making and the overall subjective quality of the interaction with primary service through a visual analog scale. RESULTS: We analyzed 4408 RRTs retrospectively and an additional 135 prospectively. The primary team's involvement by telephone or in person was associated with significantly more transfers to higher care levels in retrospective (P < .01) and prospective data sets. Code status was addressed more frequently in primary team involvement, with more frequent changes seen in the retrospective analysis (P = .01). Subjective ratings of communication by the RRT leader were significantly higher when the primary service was involved (P < .001). CONCLUSIONS: Active primary team involvement influences RRT activation processes of care. The RRT role should be an adjunct to, but not a substitute for, an engaged and present primary care team.
PURPOSE: The purpose of the study is to evaluate the impact of primary service involvement on rapid response team (RRT) evaluations. MATERIALS AND METHODS: The study is a combination of retrospective chart review and prospective survey-based evaluation. Data included when and where the activations occurred and the patient's code status, primary service, and ultimate disposition. These data were correlated with survey data from each event. A prospective survey evaluated the primary team's involvement in decision making and the overall subjective quality of the interaction with primary service through a visual analog scale. RESULTS: We analyzed 4408 RRTs retrospectively and an additional 135 prospectively. The primary team's involvement by telephone or in person was associated with significantly more transfers to higher care levels in retrospective (P < .01) and prospective data sets. Code status was addressed more frequently in primary team involvement, with more frequent changes seen in the retrospective analysis (P = .01). Subjective ratings of communication by the RRT leader were significantly higher when the primary service was involved (P < .001). CONCLUSIONS: Active primary team involvement influences RRT activation processes of care. The RRT role should be an adjunct to, but not a substitute for, an engaged and present primary care team.
Authors: Mary Ann Peberdy; Michelle Cretikos; Benjamin S Abella; Michael DeVita; David Goldhill; Walter Kloeck; Steven L Kronick; Laurie J Morrison; Vinay M Nadkarni; Graham Nichol; Jerry P Nolan; Michael Parr; James Tibballs; Elise W van der Jagt; Lis Young Journal: Circulation Date: 2007-11-09 Impact factor: 29.690
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Michael D Howell; Long Ngo; Patricia Folcarelli; Julius Yang; Lawrence Mottley; Edward R Marcantonio; Kenneth E Sands; Donald Moorman; Mark D Aronson Journal: Crit Care Med Date: 2012-09 Impact factor: 7.598
Authors: Andrea L Benin; Christopher P Borgstrom; Grace Y Jenq; Sarah A Roumanis; Leora I Horwitz Journal: Postgrad Med J Date: 2012-10 Impact factor: 2.401
Authors: Robert L Smith; Vivian N Hayashi; Young Im Lee; Leonila Navarro-Mariazeta; Kevin Felner Journal: Crit Care Med Date: 2014-02 Impact factor: 7.598