evidence based information,studies review and impact on healthcare and patient safety measurement of rapid response system.

2. Rapid response Team (RRT) is founded on the concept of
“failure to rescue” or ability to recognize early signs and
symptoms of deterioration in a patient’s condition to prevent a
severe “adverse event”.
Adverse event may be defined as an unintended injury that is due
in part to delayed or incorrect medical management and that
exposes the patient to an increased risk of death and results in
measurable disability.

4. Definition RRT:
Also termed a medical emergency team, is a
multidisciplinary team of healthcare providers
who bring critical care level skills to a patient's
bedside in an attempt to avoid further clinical
deterioration and/or cardiopulmonary arrests
and codes.

5. • Rapid Response systems aim to improve the
safety of hospital-ward patients whose condition
is deteriorating.
• These systems are based on identification of
patients at risk early notification of an identified
set of responders , rapid intervention by the
response team .
Rapid-Response Teams
Daryl A. Jones, M.D., M.B., B.S., Michael A. DeVita, M.D., and Rinaldo Bellomo, M.D.,
M.B., B.S.
N Engl J Med 2011; 365:139-146July 14, 2011DOI: 10.1056/NEJMra0910926
(NEJM 2011)

6. RRT consist of the following staff
positions:
Senior resident
Intensive care Registered nurse
Respiratory therapist.

8. 50 % reduction in the occurrence of
cardiac arrest outside the ICU.

10. • 17 % decrease in the incidence of
cardiopulmonary arrest .

13. Decrease in the number of
unnecessary transfers to a higher
level of care by a mean 30%.

17. Arrest is frequently preceded by a clinical deterioration
involving either respiratory or mental function. These
features and the high mortality associated with arrest
suggest that efforts to predict and prevent arrest might
prove beneficial.

18. The RRT may be called for physiological changes in heart rate , systolic blood
pressure , respiratory rate , pulse oximetry saturation , mental status or urinary
output . Changes in laboratory values could also indicate a patients condition is
deteriorating, the nurse may also call the RRT because of a gut feeling that all is
not right. Some hospital have pioneered the use “Early Warning Scoring Systems
"to more reliably identify patients in trouble and trigger the appropriate often
lifesaving response.