Document Detail


Republished: Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.
MedLine Citation:
PMID:  23014939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to qualitatively describe the impact of a Rapid Response Team (RRT) at a 944-bed, university-affiliated hospital.
METHODS: We analysed 49 open-ended interviews with administrators, primary team attending physicians, trainees, RRT attending hospitalists, staff nurses, nurses and respiratory technicians.
RESULTS: Themes elicited were categorised into the domains of (1) morale and teamwork, (2) education, (3) workload, (4) patient care, and (5) hospital administration. Positive implications beyond improved care for acutely ill patients were: increased morale and empowerment among nurses, real-time redistribution of workload for nurses (reducing neglect of non-acutely ill patients during emergencies), and immediate access to expert help. Negative implications were: increased tensions between nurses and physician teams, a burden on hospitalist RRT members, and reduced autonomy for trainees.
CONCLUSIONS: The RRT provides advantages that extend well beyond a reduction in rates of transfers to intensive care units or codes but are balanced by certain disadvantages. The potential impact from these multiple sources should be evaluated to understand the utility of any RRT programme.
Authors:
Andrea L Benin; Christopher P Borgstrom; Grace Y Jenq; Sarah A Roumanis; Leora I Horwitz
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Postgraduate medical journal     Volume:  88     ISSN:  1469-0756     ISO Abbreviation:  Postgrad Med J     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-27     Completed Date:  2013-01-23     Revised Date:  2013-10-17    
Medline Journal Info:
Nlm Unique ID:  0234135     Medline TA:  Postgrad Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  575-82     Citation Subset:  IM    
Affiliation:
Performance Management, Yale New Haven Health, Associate Research Scientist, Pediatrics, Yale School of Medicine, Performance Management, New Haven, CT 06519, USA. andrea.benin@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Attitude of Health Personnel*
Education, Medical, Continuing
Female
Hospital Administration* / standards
Hospital Administrators*
Hospital Rapid Response Team / organization & administration*,  standards
Humans
Interprofessional Relations
Leadership
Male
Medical Staff, Hospital*
Middle Aged
Morale
Nursing Staff, Hospital*
Patient Care / standards*
Qualitative Research
United States
Workload / statistics & numerical data
Grant Support
ID/Acronym/Agency:
5K22LM9142/LM/NLM NIH HHS; K08 AG038336/AG/NIA NIH HHS; K08 AG038336/AG/NIA NIH HHS; UL1 RR024139/RR/NCRR NIH HHS
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