How to facilitate a rapid response system in Japan: a promotion course based on TeamSTEPPS

Abstract

In Japan, the number of facilities introducing a rapid response system (RRS) has been increasing. However, many institutions have had unsuccessful implementations. In order to implement RRS smoothly, a plan that meets the needs of each hospital is needed. Methods: Rapid response system teams from each hospital, including a physician and staff in charge of medical safety, from the RRS online registry were invited to attend a workshop. The workshop aimed to develop and implement RRS. The course curriculum was based on the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) developed in the USA. Participating facilities were required to formulate an RRS introduction plan referring to Kotter's 8-step change model to overcome barriers in the implementation of RRS. The change in medical emergency team activations comparing the intervention and control group hospitals was compared. Results: Sixteen institutions were eligible for this study. After participating in the workshop, there was a tendency toward more frequent activation of medical emergency teams in the intervention group (P = 0.075). According to a self-evaluation from each facility, there is great difficulty in overcoming the 5th step of Kotter's model (empower people to act the vision). Conclusion: This step-by-step evaluation clearly identified a problem with implementation and provided measures for resolution corresponding to each facility. There was a major barrier to overcome the 5th step of Kotter's model in leading change, which represents the attitude toward implementing RRS in institutions.

Prevalence of rapid response systems in small hospitals

“…There is a gap between clinical needs and provider intention. As the new facilitating program is being introduced by the IHEC-J in Japan, [ 25 ] further research could identify the interventions required to improve the activity of in-hospital emergencies.…”

Challenges for interprofessional simulation‐based sedation training courses: Mini review

“…Rapid response training has been developed to be an evidence‐based method to ensure patient and medical safety to enhance clinical outcomes. 23 Although rapid response team performance is not uniform in each department, rapid response training in SEDTC should emphasize sedation‐related emergency and treatments. For including emergency response team competency in SEDTC, we should focus attention on the resilience of individual team members.…”

Kotter’s 8 stages of change: implementation of clinical screening protocols for assessing patients for COVID-19 – a review of an academic medical centre’s preparedness

“…Although seldom used for emergency department (ED) operations, our team recognised during the early implementation of these rapid changes that a change management framework should be guiding decision making. Although previous scholars applied other change management frameworks in healthcare settings, such as TeamSTEPPS and KINDER,4 5 we harnessed Kotter’s 8-stage change model (see figure 1) as our change management framework due to its broad applicability, proven success in other settings, and familiarity among our own operational leaders. Therefore, after evaluating all possible frameworks, we began purposefully using Kotter’s framework to focus decision making during the early stages of the pandemic This report describes the affordances of how using a corporate change model (ie, Kotter) during the pandemic supported us with managing acute healthcare challenges.…”