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Failure of Rapid Response Initiation
2 Minute EBP Challenge
Stay up-to-date the easy way!
How would you answer this question?
Even though nurses identify criteria for initiation of rapid response teams, what percentage of patients fail to get rapid response treatment prior to decompensation?
The correct answer is "d" 42%
The purpose of a rapid response team (RRT) is to help nurses manage a patient who is decompensating before the patient develops cardiac arrest. Unfortunately RRTs have been underutilized leading to a lack of improvement in outcome measures in some studies.
Dr. Shearer, et al. (2012) found that 42% of adult patients who met RRT criteria did not have the RRT initiated by nurses, even though 76% of nurses were concerned about the patient and 70% of nurses recognized that the patient met the criteria for RRT initiation. The researchers point to the hospital culture as a major factor in decreasing compliance with RRT activation.
All nurses can develop a culture of safety in their organization by developing professional relationships with physicians and administration so that patients get the help they need and nurses do not fear reprisal for asking for assistance for their patients.
Shearer, B., Marshall, S. & Buist, M.D. (2012). What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service. BMJ Quality and Safety,
Congratulations to Jim Tripp who won an autographed copy of my 101 Tips to Improve Your Nursing Care book for answering this week's question correctly. Congratulations Jim!
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David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN
President, Ed4Nurses, Inc.
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