Barriers to activation of the rapid response system

Davies, Oluwaseun; DeVita, Michael A.; Ayinla, Raji; Pérez, Xavier

doi:10.1016/j.resuscitation.2014.07.013

Cited by 46 publications

(52 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies have identified the need to train ward nurses to improve their understanding of triggering criteria,11 recognise changes in vital signs,24 improve their abilities to undertake complete vital signs (particularly respiratory rate),12 perform timely recognition and response of clinical deterioration22 and enhance their communication skills in reporting deterioration to responder staff 25 26…”

Section: Discussionmentioning

confidence: 99%

“…Despite the implementation of triggering criteria such as early warning scores to assist nurses in identifying patients at risk, adherence to triggering criteria remains suboptimal 11. A lack of understanding of physiological deterioration and triggering criteria, failure to undertake complete and reliable vital signs (particularly respiratory rate),12 13 poor clinical reasoning skills,14 ineffective communication15 and sociocultural and intraprofessional hierarchical factors9 are barriers to timely recognition and response to clinical deterioration.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Strengthening the afferent limb of rapid response systems: an educational intervention using web-based learning for early recognition and responding to deteriorating patients

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Strengthening the afferent limb of rapid response systems: an educational intervention using web-based learning for early recognition and responding to deteriorating patients

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Sarani et al (2009) reported that the physicians and nurses who perceived RRTs to improve patient safety were more likely to activate and call the RRT than those who did not perceive these benefits. More recently, Davies, DeVita, Ayinla, & Perez (2014) found that as the perception of benefit from RRT activation increased, adherence rates to activation criteria increased.…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, studies that have reported the perceived benefits of RRTs have focused predominantly on examining the perceptions of physicians and Registered Nurses (RNs) (Azzopardi et al, 2014; Davies et al, 2014) or only RNs (Shapiro et al, 2010; Salamonson et al, 2006). One study examined the perceptions of benefit of administrators, but only eight administrators were included in the study (Benin et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Little research has been conducted to examine and compare the perceptions of nurse leaders with RRT members and RRT users. Furthermore, studies were limited to single institutions (Davies et al, 2014; Benin et al, 2012; Azzopardi et al, 2011) and, due to low response rates, small numbers of nurses participated with numbers ranging from 16 (Davies et al, 2014) to 18 (Benin et al, 2014). Thus, the view of nurses may not have been fully captured in these studies.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Original Research

Stolldorf

2016

AJN, American Journal of Nursing

View full text Add to dashboard Cite

Problem and its significance Perceived benefits of rapid response teams (RRTs) impact their sustained use. Perceived benefits are particularly important for RRT sustainment when limited RRT data is shared with organizational members. Nurse leaders' perceived benefits of RRTs likely influence their support for RRTs, crucial for sustained RRT use. Little is, however, known of nurse leaders' perception of the benefits of RRTs. This study will examine and compare nurse leaders, RRT members, and RRT users perceived benefits of RRTs. Study design Qualitative, semi-structured interviews were conducted as part of a larger mixed-methods study examining RRT sustainability. Interviews were conducted at four community hospitals and nurse leaders, RRT members, and RRT users were targeted for interviews. Sampling method Purposive and snowball sampling was used. Recruitment strategies included email and list-serve announcements, on-site presentations, direct personal contact, and a study flyer. Important findings All participants reported perceived benefits from RRTs to the organization, to staff members, and to patients. Variations were, however, observed between nurse leaders, RRT members, and RRT users. Important conclusions Nurse leaders' perceptions were focused on macro-level benefits, whereas RRTMs focused on the learning and teaching aspects RRTs offer, and RRTUs on the psychological support RRTs provided.

show abstract

Patient Safety in Internal Medicine

Regina¹,

Vecchiè

Bonaventura

et al. 2020

Textbook of Patient Safety and Clinical Risk Management

View full text Add to dashboard Cite

Hospital Internal Medicine (IM) is the branch of medicine that deals with the diagnosis and non-surgical treatment of diseases, providing the comprehensive care in the office and in the hospital, managing both common and complex illnesses of adolescents, adults, and the elderly. IM is a key ward for Health National Services. In Italy, for example, about 17.3% of acute patients are discharged from the IM departments. After the epidemiological transition to chronic/degenerative diseases, patients admitted to hospital are often poly-pathological and so requiring a global approach as in IM. As such transition was not associated—with rare exceptions—to hospital re-organization of beds and workforce, IM wards are often overcrowded, burdened by off-wards patients and subjected to high turnover and discharge pressure. All these factors contribute to amplify some traditional clinical risks for patients and health operators. The aim of our review is to describe several potential errors and their prevention strategies, which should be implemented by physicians, nurses, and other healthcare professionals working in IM wards.

show abstract

Barriers to activation of the rapid response system

Cited by 46 publications

References 25 publications

Strengthening the afferent limb of rapid response systems: an educational intervention using web-based learning for early recognition and responding to deteriorating patients

Strengthening the afferent limb of rapid response systems: an educational intervention using web-based learning for early recognition and responding to deteriorating patients

Original Research

Patient Safety in Internal Medicine

Contact Info

Product

Resources

About