Rapid response teams
A hospital uses round-the-clock pulse oximetry monitoring to identify patients who exhibit early signs of deterioration and automatically notify their nurse, leading to reductions in rescue events and transfers to the intensive care unit.
Hospitals participating in a collaborative used screening criteria, fast-track diagnostic testing, protocols to support the prompt initiation of treatment, and ongoing monitoring to reduce sepsis mortality by 54.5 percent.
Working as part of an “intensive care unit without walls,” critical care physicians (called intensivists) decide which patients require intensive care unit admission and oversee the care of all critically ill patients throughout the hospital, leading to declines in hospital and intensive care unit mortality, improved management of intensive care unit bed capacity, and low intensive care unit length of stay for terminally ill patients.
A “shock” protocol involving computerized flagging of abnormal vital signs and initiation of treatment based on standardized order sets led to faster identification and treatment of children with suspected sepsis in the emergency department.
Immediate team debriefings after a cardiopulmonary resuscitation code event improve multiple aspects of the team's response to future codes and generate high levels of staff satisfaction.
A trained rapid response, crisis prevention team calms agitated patients in inpatient psychiatry units, leading to less use of restraints and seclusion and fewer injuries to staff and patients.
A simple scoring system allows nurses to quickly recognize patients likely to deteriorate and mobilize resources to assist them, leading to an increase in calls to the hospital rapid response team and a reduction in “code blue” (cardiopulmonary) emergencies.
New health system–wide infrastructure facilitates better adherence to recommended practices, lower mortality, and the virtual elimination of code blues.
A children's hospital empowers families to directly activate its pediatric rapid response team in case of a suspected emergency situation, leading to a significant increase in calls to the team by family and staff.
A children's hospital uses a clinical “microsystem” approach to improve patient safety and quality, leading to fewer codes and more timely care.