Article Text

PDF
Republished: Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators
  1. Andrea L Benin1,2,
  2. Christopher P Borgstrom1,
  3. Grace Y Jenq3,
  4. Sarah A Roumanis1,
  5. Leora I Horwitz1,3
  1. 1Department of Performance Management, Yale New Haven Health System, New Haven, Connecticut, USA
  2. 2Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA
  3. 3Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA
  1. Correspondence to Dr Andrea L Benin, System Executive Director, Performance Management, Yale New Haven Health, Associate Research Scientist, Pediatrics, Yale School of Medicine, 789 Howard Avenue (300 George St #487), Performance Management, 4th floor, New Haven, CT 06519, USA; andrea.benin{at}gmail.com

Abstract

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.

  • Hospital rapid response team
  • qualitative research
  • workload
  • quality improvement
  • programme evaluation
  • quality measurement
  • quality improvement methodologies
  • patient safety
  • communication
  • duty hours/work hours
  • hand-off
  • transitions in care

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.