The Science Journal of the American Association for Respiratory Care

2007 OPEN FORUM Abstracts

EVALUATION AND IMPLEMENTATION OF A RAPID RESPONSE TEAM

B. Glynn1


Background: Thomas Jefferson University Hospital (TJUH) implemented a Rapid Response Team (RRT) as part of a national initiative to improve patient outcomes. A committee was formed consisting of Senior Hospital Administration, Nursing, Respiratory Therapy, Critical Care Medicine, and Performance Improvement. We followed the model developed by the University Of Pittsburgh and The Delmarva Foundation. The RRT includes a critical care RN, RT, floor RN, medicine resident, surgical resident, and an anesthesiologist. Activation of the team was rolled out in phases across the hospital.

Method: A campus report card was developed to track key measures as an indication of our utilization of the Rapid Response Team. The RRT committee meets weekly to review recent calls and update the results of our report card. A representative from every nursing unit is invited to provide feedback to the group as well.

Results: See table

The Rapid Response Team program was implemented in May 2006 on the medical floor of the TJUH. In October 2006 the RRT was implemented to the entire in-patient population.

Conclusion:
The Implementation of the RRT has lead to increased awareness of a patients deteriorating condition before a code blue is warranted. This in turn has decreased non-ICU codes in our institution. In addition, the majority of RRT calls require significant respiratory care, which could impact respiratory therapy staffing levels.

Rapid Response Team Data
RRT Indicators May 06- Dec 06 Jan 07- mar 07
RRT CALLS 181 117
AVG Length of RRT (min) 63.6 53.2
RRT results in Intubation 45 (24%) 30 (25%
Respiratory event triggered rrt 112 (61%) 75 (64%)
Survival to discharge 72% 63%



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