The limitations in implementing and operating a rapid response system

A Subramaniam; J Botha; R Tiruvoipati

doi:10.1111/imj.13042

The limitations in implementing and operating a rapid response system

Intern Med J. 2016 Oct;46(10):1139-1145. doi: 10.1111/imj.13042.

Authors

A Subramaniam^{1

2

3}, J Botha^{4

5}, R Tiruvoipati^{4

5}

Affiliations

¹ Department of Intensive Care, Frankston Hospital, Monash University, Melbourne, Victoria, Australia. catchdrash@yahoo.com.
² Department of Medicine, Monash University, Melbourne, Victoria, Australia. catchdrash@yahoo.com.
³ Department of Intensive Care, Monash University, Melbourne, Victoria, Australia. catchdrash@yahoo.com.
⁴ Department of Intensive Care, Frankston Hospital, Monash University, Melbourne, Victoria, Australia.
⁵ Department of Intensive Care, Monash University, Melbourne, Victoria, Australia.

PMID: 26913367
DOI: 10.1111/imj.13042

Abstract

Despite the widespread introduction of rapid response systems (RRS)/medical emergency teams (MET), there is still controversy regarding how effective they are. While there are some observational studies showing improved outcomes with RRS, there are no data from randomised controlled trials to support the effectiveness. Nevertheless, the MET system has become a standard of care in many healthcare organisations. In this review, we present an overview of the limitations in implementing and operating a RRS in modern healthcare.

Keywords: critical care outreach teams; deteriorating patient; medical emergency team; rapid response service; rapid response team.

Publication types

Review

MeSH terms

Emergency Service, Hospital / standards*
Hospital Mortality
Hospital Rapid Response Team / economics
Hospital Rapid Response Team / standards*
Humans
Intensive Care Units
Patient Safety
Patient-Centered Care / standards*
Physician-Patient Relations
Terminal Care