Rapid response team (medicine)

A rapid response team (RRT), also known as a medical emergency team (MET) and high acuity response team (HART), is a team of health care providers that responds to hospitalized patients with early signs of deterioration on non-intensive care units to prevent respiratory or cardiac arrest. The health care providers are trained in early resuscitation interventions and advanced life support and may include a physician, nurse, pharmacist, or respiratory therapist. The RRT, medical emergency team (MET), critical care outreach team (CCOT), and rover team are all different forms of the outgoing component of the rapid response system. The team responds to calls placed by clinicians or families at the bedside who have detected deterioration.[1][2][3] Some teams may also provide care during transport between hospitals, acting as a critical care transport team.[4]

This article is about medical rescue efforts. For the network of safe houses, see Rapid response team (resistance movement). For military aeromedical evacuation teams, see Aeromedical evacuation.
Rapid response team
Other namesMedical emergency team, high acuity response team

Effectiveness

Rapid response teams appear to decrease the rates of respiratory and cardiac arrest outside the intensive care unit.[5][6][7] They also appear to decrease the chance of death in hospital.[8] Overall effectiveness of RRTs is somewhat controversial due to the variability across studies.[5][9][10][11][12][13]

See also
  • Quick response team (disambiguation)

References
  1. Jones, DA; DeVita, MA; Bellomo, R (Jul 14, 2011). "Rapid-response teams" (PDF). The New England Journal of Medicine. 365 (2): 139–46. doi:10.1056/NEJMra0910926. PMID 21751906.
  2. Devita, MA; Bellomo, R; Hillman, K; Kellum, J; Rotondi, A; Teres, D; Auerbach, A; Chen, WJ; Duncan, K; Kenward, G; Bell, M; Buist, M; Chen, J; Bion, J; Kirby, A; Lighthall, G; Ovreveit, J; Braithwaite, RS; Gosbee, J; Milbrandt, E; Peberdy, M; Savitz, L; Young, L; Harvey, M; Galhotra, S (Sep 2006). "Findings of the first consensus conference on medical emergency teams". Critical Care Medicine. 34 (9): 2463–78. doi:10.1097/01.CCM.0000235743.38172.6E. PMID 16878033.
  3. National Institute for Health and Clinical Excellence. Clinical guideline 50: Acutely ill patients in hospital. London, 2007.
  4. "High Acuity Response Team (HART) | Accreditation Canada". www.accreditation.ca. Retrieved 14 June 2017.
  5. Chan, PS; Jain, R; Nallmothu, BK; Berg, RA; Sasson, C (2010-01-11). "Rapid Response Teams: A Systematic Review and Meta-analysis". Archives of Internal Medicine. 170 (1): 18–26. doi:10.1001/archinternmed.2009.424. PMID 20065195.
  6. Winters, BD; Weaver, SJ; Pfoh, ER; Yang, T; Pham, JC; Dy, SM (Mar 5, 2013). "Rapid-response systems as a patient safety strategy: a systematic review". Annals of Internal Medicine. 158 (5 Pt 2): 417–25. doi:10.7326/0003-4819-158-5-201303051-00009. PMC 4695999. PMID 23460099.
  7. Kronick, SL; Kurz, MC; Lin, S; Edelson, DP; Berg, RA; Billi, JE; Cabanas, JG; Cone, DC; Diercks, DB; Foster, JJ; Meeks, RA; Travers, AH; Welsford, M (3 November 2015). "Part 4: Systems of Care and Continuous Quality Improvement: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. 132 (18 Suppl 2): S397–413. doi:10.1161/cir.0000000000000258. PMID 26472992.
  8. Solomon, RS; Corwin, GS; Barclay, DC; Quddusi, SF; Dannenberg, MD (June 2016). "Effectiveness of rapid response teams on rates of in-hospital cardiopulmonary arrest and mortality: A systematic review and meta-analysis". Journal of Hospital Medicine. 11 (6): 438–445. doi:10.1002/jhm.2554. PMID 26828644.
  9. Massey, D; Aitken, LM; Chaboyer, W (Dec 2010). "Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?". Journal of Clinical Nursing. 19 (23–24): 3260–73. doi:10.1111/j.1365-2702.2010.03394.x. hdl:10072/35936. PMID 21029228.
  10. Ranji, SR; Auerbach, AD; Hurd, CJ; O'Rourke, K; Shojania, KG (Nov 2007). "Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis". Journal of Hospital Medicine. 2 (6): 422–32. doi:10.1002/jhm.238. PMID 18081187.
  11. Tibballs, J; van der Jagt, EW (Aug 2008). "Medical emergency and rapid response teams". Pediatric Clinics of North America. 55 (4): 989–1010, xi. doi:10.1016/j.pcl.2008.04.006. PMID 18675030.
  12. Winters, BD; Pham, JC; Hunt, EA; Guallar, E; Berenholtz, S; Pronovost, PJ (May 2007). "Rapid response systems: a systematic review". Critical Care Medicine. 35 (5): 1238–43. doi:10.1097/01.CCM.0000262388.85669.68. PMID 17414079.
  13. Stahel, PF; Fakler, JK; Flierl, MA; Moldenhauer, K; Mehler, PS (Mar 2010). "[Current concepts of patient safety: rapid response system]". Der Unfallchirurg. 113 (3): 239–46. doi:10.1007/s00113-009-1734-7. PMID 20174916.
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